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| Name | Class |
|---|---|
| Centre Hospitalier Universitaire de Nīmes | OTHER |
| Institut du Cancer de Montpellier - Val d'Aurelle | OTHER |
| Laboratoire Cellules Circulantes Rares Humaines | UNKNOWN |
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Cervical cancer is a rare pathology. Recent studies showed that the risk of recurrence is higher for patients treated by coelioscopy in comparison with laparotomy. It could be explained by the spread of circulating tumor cells (CTC) due to tumor mobilization during different steps of the surgery.
The primary goal is to evaluate the spread of CTC during surgery on peripheral blood samples.
The secondary outcome is to evaluation the disease-free survival at 3 and 5 years postoperatively.
20 patients with early stage cervical (IA1 to IB2) eligible to coelioscopic stadification and laparoscopic surgery will be included.
CTC detection could be a pronostic factor for cancer evolution. Cervical cancer is a rare pathology with increased death rate.
Despite recommendations for coelioscopic treatment of < 4cm cervical cancers, recent studies showed that the risk of recurrence is higher for patients treated by coelioscopy in comparison with laparotomy. It could be explained by the spread of circulating tumor cells (CTC) due to tumor mobilization during coelioscopic stadification and laparoscopic surgery.
Hypothesis : Mobilization of the tumor during coelioscopy leads to CTC spread. This spread could explain the recurrence of cervical cancer.
This pilot study will evaluate the possibility of CTC detection during surgery. The primary goal is to evaluate the spread of CTC during the different steps of surgery on peripheral blood samples.
The secondary outcome is to evaluation the disease-free survival at 3 and 5 years postoperatively.
20 patients with early stage cervical (IA1 to IB2) eligible to coelioscopic stadification and laparoscopic surgery will be included.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early stage cervical cancer | Experimental | Patients with cervical cancer eligible for surgery, stage IA1 to IB2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood samples | Other | Peripheral blood samples at the beginning of surgery, after pneumoperitoneum creation and uterine pedicles coagulation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of circulating tumor cell detected after cervical cancer surgery. | Detection of the presence of at least one circulating tumor cell from blood samples taken during surgery (one CTC per 7.5mL of blood or increase of at least one CTC if CTC is present pre-operatively) | Within 48 hours after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of disease-free survival | The disease-free survival will be evaluated at 3 and 5 years post-operatively | Two points at the 3rd and 5th years |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of gynaecology, Montpellier University Hospital | Montpellier | 34295 | France | |||
| Institut du Cancer de Montpellier - Val d'Aurelle |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| D009360 | Neoplastic Cells, Circulating |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Montpellier |
| 34298 |
| France |
| CHU de Nîmes | Nîmes | France |
| D009369 |
| Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D009362 | Neoplasm Metastasis |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |