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Cover Page

The handle http://hdl.handle.net/1887/51101 holds various files of this Leiden University dissertation

Author: Gent, M.D.J.M. van

Title: Tailoring therapy in endometrial and cervical cancer

Issue Date: 2017-06-20

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IN ENDOMETRIAL AND CERVICAL CANCER

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IN ENDOMETRIAL AND CERVICAL CANCER

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“Als je patiënten geen mogelijkheid tot vervullen kinderwens kan bieden moet je ze misschien iets anders te wensen bieden” - Michiel Krol, † 2012

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Journal of gynecol surg, 2012 Oct; volume 28 (issue 6):

398-398

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Int J Gynecol Cancer. 2016 Mar; 26(3):483-90

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Int. J. Gynecol. Cancer. 2017. Accepted

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Int J Gynecol Cancer. 2014 May; 24(4): 735-43

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CHAPTER 1

Introduction

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INTRODUCTION – TAILORING THERAPY IN GYNAECOLOGICAL CANCER

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%DSWLVW7ULPERV

(20)

CHAPTER 2

No Surgery for Low-Grade Endometrial Cancer in Women with a desire to Preserve Fertility

Mignon van Gent 0DUMROHLQ.DJLH

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Journal of gynecological surgery 2012 Oct; volume 28 (issue 6): 398-398

(21)

CHAPTER 2

No Surgery for Low-Grade Endometrial Cancer in Women with a desire to Preserve Fertility

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ZHUHGHVFULEHG

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(22)

2

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2.1 ABSTRACT

Objective

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JRRRSKRUHFWRP\6WDQGDUGWUHDWPHQWWDNHVDZD\WKHSRVVLELOLW\IRUIHUWLOHZRPHQWR

FRQFHLYH 7KLV UHYLHZ VWXGLHV WKH HIIHFWLYHQHVV DQG VDIHW\ RI FRQVHUYDWLYHKRUPRQDO

WKHUDS\IRUVWDJH,JUDGHDQGHQGRPHWULDOFDQFHU

Materials and Methods

:HVHDUFKHG3XEPHGIRUSXEOLFDWLRQVIURP-DQXDU\WR1RYHPEHU3XEOL

FDWLRQVLQFOXGHGUHWURVSHFWLYHVWXGLHVFDVHUHSRUWVPXOWLFHQWHU3KDVH,,VWXG\DQGOLW

HUDWXUHUHYLHZVGHVFULELQJFRQVHUYDWLYHWUHDWPHQWIRUZRPHQZLWKW\SH,HQGRPHWULDO

FDQFHU

Results

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DJHRIWKHSDWLHQWVZDV\HDUV7ZRKXQGUHGDQGWKLUW\WZRSDWLHQWVKDGJUDGHGLV

HDVHDQGKDGJUDGHRUPRUH*UDGLQJZDVXQNQRZQIRUƓYHSDWLHQWV3DWLHQWVZHUH

WUHDWHGZLWKGLIIHUHQWSURJHVWDWLYHV7KUHHRXWRISDWLHQWVGLGQRWUHFHLYHDQ\WUHDW

PHQWIRUWKHLUGLVHDVH7KHPHDQQXPEHURIPRQWKVRIWUHDWPHQWZDVPRQWKV2QH

KXQGUHGDQGQLQHW\WKUHHRIWKHSDWLHQWVUHVSRQGHGLQLWLDOO\WRWKHUDS\3URJHVWHU

RQHUHFHSWRUVWDWXVZDVNQRZQLQRISDWLHQWV6HYHQW\VHYHQSDWLHQWV  ZHUH

SURJHVWHURQHUHFHSWRUSRVLWLYH7KHPHDQIROORZXSZDVPRQWKV1RSDWLHQWGLHGRI

HQGRPHWULDOFDQFHU2QHKXQGUHGDQGWZHQW\VHYHQSUHJQDQFLHVDQGOLYLQJELUWKV

ZHUHGHVFULEHG

Conclusions

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JURXSRISDWLHQWVVWDJH,JUDGHDQGHQGRPHWULDOFDQFHULQZRPHQZKRZDQWWR

SUHVHUYHWKHLUIHUWLOLW\7KHSDWLHQWVKDYHWREHWUHDWHGDFFRUGLQJWRDZHOOGHƓQHGSUH

VHWSURWRFRO7KHSURFHVVVKRXOGEHZHOOGRFXPHQWHGWRLPSURYHWKHVDIHW\DQGHIIHF

WLYHQHVVRIWKHFRQVHUYDWLYHWUHDWPHQW

(23)

2.2 INTRODUCTION

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FOXGLQJELODWHUDOVDOSLQJRRRSKRUHFWRP\+RZHYHUWKLVVWDQGDUGDSSURDFKWDNHVDZD\

WKHSRVVLELOLW\IRUIHUWLOHZRPHQWRFRQFHLYH:HXQGHUWRRNWKLVUHYLHZWRGHWHUPLQH

WKHHIIHFWLYHQHVVDQGVDIHW\RIFRQVHUYDWLYHKRUPRQDOWKHUDS\IRUVWDJH,JUDGHDQG

HQGRPHWULDOFDQFHU

2.3 OBJECTIVES

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FDWHGDVDQDOWHUQDWLYHPHWKRGRIWUHDWPHQWLQH[FHSWLRQDOFDVHVIRU\RXQJZRPHQZKR

ZLVKWRSUHVHUYHWKHLUIHUWLOLW\7KHREMHFWLYHVRIWKLVUHYLHZDUH  WRGHWHUPLQHWKH

HIIHFWLYHQHVVDQGVDIHW\RIFRQVHUYDWLYHWKHUDS\IRUVWDJH,JUDGHDQGHQGRPHWULDO

FDQFHUDQG  WRIRUPXODWHDSURWRFROWRVDYHIHUWLOLW\LQ\RXQJSDWLHQWVZLWKHQGRPH

WULDOFDQFHU

2.4 MATERIALS AND METHODS

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FDWLRQVLQFOXGHGUHWURVSHFWLYHVWXGLHVFDVHUHSRUWVPXOWLFHQWHU3KDVH,,VWXG\DQGOLW

HUDWXUHUHYLHZVGHVFULELQJFRQVHUYDWLYHWUHDWPHQWIRUZRPHQZLWKW\SH,HQGRPHWULDO

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VXEMHFW7ZRLQYHVWLJDWRUVDEVWUDFWHGWKHGDWD6WXGLHVWKDWZHUHQRWDYDLODEOHRQOLQH

ZHUHKDQGVHDUFKHG

2.5 RESULTS

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VHUYHIHUWLOLW\LVLQFRQFOXVLYHZLWKUHJDUGWRWKHEHVWWUHDWPHQWPRGDOLW\7KHUHDUHPDQ\

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UHYLHZV-DGRXOUHSRUWHGSDWLHQWVEHLQJWUHDWHGZLWKSURJHVWDJHQV5DFNRZ2VWXG

LHGSDWLHQWV*RWOLHE5DPLUH]DQG%RLQJKDYHZULWWHQWKHPRVWFRPSOHWH

DQGFOHDUUHYLHZV&KLYDKDVXVHGPRVWRIWKLVLQIRUPDWLRQDQGFRPSOHWHGLWZLWKWKH

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(24)

2

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ZHUHKDQGVHDUFKHG

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Number of patients

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Grading

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HDVHDQGSDWLHQWVKDGJUDGHRUPRUH*UDGLQJZDVXQNQRZQIRUƓYHSDWLHQWV

Treatment

3DWLHQWV ZHUH WUHDWHG ZLWK PHGUR[\SURJHVWHURQH DFHWDWH 03$  PHJHVWURO DFHWDWH

0$ K\GUR[\SURJHVWHURQHFDSURDWH 2+SURJ QRUHWKLVWHURQHDFHWDWH 1$ GLK\GUR

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Receptor status

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VWDWXVIRUDOORWKHUFDVHVZDVXQNQRZQ

Follow-up

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OLYLQJELUWKVZHUHGHVFULEHG6L[VWXGLHVGLGQRWPHQWLRQSUHJQDQF\UDWHVDQGWKH

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Referenties

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