Percutaneous nephrostomy: its value in obstructive uropathy complicating carcinoma of cervix uterus.
AffiliationDepartment of Radiotherapy, Christie Hospital and Holt Radium Institute, Manchester, UK.
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AbstractPercutaneous nephrostomies (PCN) were performed in 25 patients with uterine cervical malignancy between November 1982 and December 1987 at the Christie Hospital and Holt Radium Institute. Group 1 consisted of eight patients with untreated disease; group 2 consisted of eight cases with recurrent tumour; and group 3 consisted of nine patients with obstructive uropathy related to previous treatment. Six patients in group 1 subsequently received radical radiotherapy, and two of them were alive and disease free (33%) ten months later. Further active treatment was only possible in two of the patients with recurrence and overall median survival was only 51 days. All patients in group 3 had normalization of their renal function post-nephrostomy and prior to definitive management of the obstruction. We conclude that the technique should be considered in patients who had no previous treatment and in patients with treatment-related complications. Its value in recurrent disease is limited.
CitationPercutaneous nephrostomy: its value in obstructive uropathy complicating carcinoma of cervix uterus. 1990, 2 (3):156-8 Clin Oncol (R Coll Radiol)
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