Advanced-stage cervix cancer: rapid tumour growth rather than late diagnosis
2000

Rapid Tumor Growth in Advanced Cervical Cancer

Sample size: 177 publication Evidence: moderate

Author Information

Author(s): Symonds P, Bolger B, Hole D, Mao J H, Cooke T

Primary Institution: Beatson Oncology Centre, University Department of Oncology, Leicester Royal Infirmary, Leicester

Hypothesis

Is the degree of spread at diagnosis of cervical cancer more influenced by tumor biology or diagnostic delay?

Conclusion

The stage at diagnosis is more dependent on the biological behavior of the tumor than on the delay in presentation.

Supporting Evidence

  • There was no association between duration of symptoms and stage at presentation for symptomatic patients.
  • Patients with increasing tumor stage had more rapidly proliferating tumors.
  • Higher mean labeling index measurements were observed in patients with advanced tumor stages.
  • Socioeconomic deprivation may be linked to shorter potential doubling time values.

Takeaway

Doctors found that how fast a tumor grows is more important than how long someone waits to see a doctor when it comes to advanced cervical cancer.

Methodology

Patients' symptom durations were recorded, and tumor proliferation rates were evaluated using in vivo labeling with BrdUrd.

Participant Demographics

Patients scheduled for radiotherapy or radical hysterectomy.

Statistical Information

P-Value

P = 0.001; P = 0.023

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1336

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