Open AccessPrimary Surgical Treatment of Carcinoma stage I of the Uterine Cervix
Author(s) -
Falk V.,
Lundgren N.,
Quarfordt L.,
Årström K.
Publication year - 1982
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348209156596
Subject(s) - medicine , stage (stratigraphy) , lymph node , radical surgery , parametrial , radiation therapy , surgery , cervix , carcinoma , survival rate , lymph , adenocarcinoma , uterine cervix , primary tumor , metastasis , cervical carcinoma , cancer , cervical cancer , pathology , paleontology , biology
. 476 cases of Stage I —IV invasive carcinoma of the uterine cervix were treated at the Gynecology Departments in Karlstad and Örebro in 1965‐75. 232 (48.7%) were classified Stage I, 198 (85.3%) of them were treated with primary surgery (57 Stage IA and 141 Stage IB). Thirty‐four were given primary radiotherapy because of advanced age or co‐existing conditions contra‐indicating surgery. Of the 141 patients with primary surgery for Stage IB, squamous epithelial carcinoma was established in 88.7% and adenocarcinoma in 11.3%. Surgery revealed lymph node metastases in 13 (9.2%). Postoperative radiotherapy was given to all patients with lymph node metastases, to 3 patients with tumor thrombi in the parametrial vessels, and to 6 in whom surgery had conceivably not been radical. Urinary tract complications requiring reconstructive surgery occurred in 8 (4.0%). The 5‐year survival rate with Stage IB was 91.5%, corrected for intercurrent diseases, 5‐year survival was 92.8%. Of the 13 with lymph node metastases, 7 were still alive after 5 years. The 5‐year survival rate for those without demonstrable lymph node metastases was 94.5%, corrected 96.0%.