Premium
Lymph Node Metastases in Cancer of the Cervix Stage 1b *
Author(s) -
Kolstad Per
Publication year - 1968
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1968.tb00695.x
Subject(s) - medicine , stage (stratigraphy) , lymph node , cervix , radical hysterectomy , cervical cancer , dissection (medical) , cancer , lymph , surgery , radiology , pathology , paleontology , biology
Summary A survey is given of the shift in the stage distribution of cancer of the cervix as seen in the Norwegian Radium Hospital during the past 35 years. Today, approximately 45% of lesions are early Stage 1. Since treatment of cervical cancer in Norway to a large extent is centralized to this hospital, the absolute number of patients admitted with Stage 1 lesions now has reached approximately 150 a year. During the same time period there also has been a shift in the treatment methods, the routine procedure now being radium insertions followed 8 weeks later by radical hysterectomy with pelvic lymphadenectomy. In a series of 694 Stage lb lesions 20% lymph node metastases were found. Approximately 50% of the patients with metastases were cured. The crude survival rate of the total material was 83.5%. The follow‐up showed that 5.9% died of distant metastases, 1.4% of intercurrent disease, and 3.5% were found to have such an extensive spread during operation that a radical dissection was impossible. There were 2 post‐operative deaths (0.3%). Finally, it was observed that the adenomatous lesions seem to metastasize later but are slightly less radiosensitive than the squamous cell lesions.