This paper considers 232 cases of Stage Ib, II proximal carcinoma of the uterine cervix treated with radical surgery during the years 1971-79. Forty of them (17.2%) were also submitted to preoperative curietherapy. Although they have not been properly randomized, their selection was not conditioned by any particular criteria so they may be compared with the patients who were submitted to surgery alone. The disease free survival is practically the same in both groups (87.7% at 5 years for the cases with preoperative curietherapy and 87.5% for those without). However, in the group submitted to preoperative curietherapy the cervix proved to be clear in about 80% of the cases treated and no pelvic relapses with central recurrence were observed at follow-up. In the group with surgery alone, pelvic recurrences were observed in 14.3% of the cases with bulkier cervical lesions i.e. large Stage Ib and Stage II proximal (9 on 63 patients). These are the only cases which can gain benefit from a combined radio-surgical treatment.
|Number of pages||8|
|Journal||Cervix and the Lower Female Genital Tract|
|Publication status||Published - 1987|
ASJC Scopus subject areas
- Obstetrics and Gynaecology