title: [Single vaginal vault recurrences following endometrial carcinoma stage 1 treated by operation (author's transl)].
abstract: From 1950--1975 201 women had total abdominal hysterectomies and bilateral salpingoophorectomies for stage 1 carcinoma of the endometrium, out of a total of 280 endometrial carcinomas. All patients had post-operative external radiation. A prophylactic vaginal radium insertion was not done. Of 191 follow-up cases from between 2 and 10 years following the operation 2 patients had recurrences of the vaginal vault and 2 patients had single vaginal metastases. Based on a study of the literature and the personal results, it is suggested that a prophylactic vaginal radium insertion is justified only in cases of undifferentiated endometrial carcinomas stage 1 group I type G3 with 50% or more tumour invasion of the myometrium.
mesh_terms: D000328:Adult; D000368:Aged; D002369:Castration; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009367:Neoplasm Staging; D011182:Postoperative Care; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000532:radiotherapy; D014625:Vaginal Neoplasms / Q000150:complications*
vernacular_title: Isolierte Vaginalmetastasen und sogenannte Vaginalstumpfrezidive beim operierten Korpuskarzinom des Stadiums I.