Surgery in the treatment of stage Ib-II cervical cancer

F. Di Re, R. Fontanelli, F. Raspagliesi, E. Di Re

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Abstract

The evaluation of various prognostic factors of cervical carcinoma has led to general agreement on the possibility of performing a limited surgery in early stages (ca. in situ and early stromal invasion). On the contrary, the selection of the optimal treatment in the other cases is still a controversial topic. The therapeutic superiority between radiotherapy and surgery, unresolved up to now, must firstly be clarified and, secondly, an agreement reached between different surgical approaches (such as the so-called ''III and IV class extended hysterectomy'' and, in selected cases, the ''II class''). Anyway the prognostic importance of nodal spread and the low sensitivity of pre-operative nodal involvement evaluation, lead us to consider extended lymphadenectomy as the only way of obtaining an exact ''map'' of the retroperitoneal diffusion of the disease. In this work we report our experience on 406 patients affected by stage I and II invasive carcinoma of the cervix treated at the Istituto Nazionale Tumori of Milan from 1972 to 1986.

Original languageEnglish
Pages (from-to)89-98
Number of pages10
JournalCervix and the Lower Female Genital Tract
Volume8
Issue number1
Publication statusPublished - 1990

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ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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