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Cervical cancer is the most common gynaecological malignancy in rural Bengal. There is significant improvement in pelvic disease control and survival when concurrent Cisplatin chemotherapy is added to radiotherapy in stage IB2 -IVA. We assessed the result of cervical cancer treated for the consecutive two years on total 189 patients, with particular emphasis on the methods of treatment and their prognostic outcome. The patients were evaluated with physical and pelvic examination for staging of cervical cancer, routine blood count, Biochemistry profile, chest radiograph, IVU, barium enema and CECT scan. Patients were treated with EBR to pelvis delivered with AP/ PA portal over five weeks followed by three HDR intracavitary brachytherapy for three consecutive weeks. Weekly concurrent Cisplatin chemotherapy was administered to seventy one patients. Patients were followed up every three months for the first two years, every four months for the third year, every six months for the fourth and fifth year and yearly afterwards. The observed 2 year survival was 66.90%. Clinical stage at presentation was the single most important variable in predicting survival. The 2 year observed survival for stage II disease was 76.19%, for stage III 54.76% and for stage IV 5.7%.

A retrospective study of prognostic factors in locally advanced cancer of uterine cervix in a Rural Medical College of West Bengal