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**Discouraged... as the cervix remains and can develop a cancer. | **Discouraged... as the cervix remains and can develop a cancer. | ||
*Total hysterectomy. | *Total hysterectomy. | ||
**Indications: endometrial cancer (low stage, good histologic type), [[endometrial hyperplasia]], [[uterine prolapse]], [[uterine adenomyosis]], [[uterine leiomyoma]]s. | |||
*Radical hysterectomy - total hysterectomy + parametrial tissue.<ref name=pmid19546764>{{Cite journal | last1 = Frumovitz | first1 = M. | last2 = Sun | first2 = CC. | last3 = Schmeler | first3 = KM. | last4 = Deavers | first4 = MT. | last5 = Dos Reis | first5 = R. | last6 = Levenback | first6 = CF. | last7 = Ramirez | first7 = PT. | title = Parametrial involvement in radical hysterectomy specimens for women with early-stage cervical cancer. | journal = Obstet Gynecol | volume = 114 | issue = 1 | pages = 93-9 | month = Jul | year = 2009 | doi = 10.1097/AOG.0b013e3181ab474d | PMID = 19546764 }}</ref> | *Radical hysterectomy - total hysterectomy + parametrial tissue.<ref name=pmid19546764>{{Cite journal | last1 = Frumovitz | first1 = M. | last2 = Sun | first2 = CC. | last3 = Schmeler | first3 = KM. | last4 = Deavers | first4 = MT. | last5 = Dos Reis | first5 = R. | last6 = Levenback | first6 = CF. | last7 = Ramirez | first7 = PT. | title = Parametrial involvement in radical hysterectomy specimens for women with early-stage cervical cancer. | journal = Obstet Gynecol | volume = 114 | issue = 1 | pages = 93-9 | month = Jul | year = 2009 | doi = 10.1097/AOG.0b013e3181ab474d | PMID = 19546764 }}</ref> | ||
**Indications: cervical cancers, advanced uterine cancers. | **Indications: cervical cancers, advanced uterine cancers. | ||
***This is typically done by gynecologists with additional training at larger centres. | ***This is typically done by gynecologists with additional training at larger centres. | ||
***Usually done with a bilateral salpingo-opherectomy (both tubes and ovaries) and pelvic lymph node dissection. | |||
Notes: | Notes: |
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