title: [Experience with radical surgery for tumor persistence or recurrence after primary irradiation of cervix neoplasms].
abstract: At first the general problems of operations in the x-ray treated tissue are discussed. After that 11 cases of patients, who were x-rayed, were demonstrated. With these patients we carried out a radical operation, because the cancer of cervicis was insufficiently affected by a primary radiological therapy. The bad turn of disease could not be stopped at 6 cases. The women patients got either uretero-vaginal-fistulae (2) or recto-vaginal-fistulae (2) or combined vesico-recto-vaginal-fistulae (1) and in less than one year they died of recidiv of cancer. Two women patients are still tended on account of their vesico-recto-vaginal fistulae. Only three women had been cured satisfactorily and they are till now free of recidivs for 4 to 7 years.
mesh_terms: D000328:Adult; D000368:Aged; D003037:Cobalt Radioisotopes / Q000627:therapeutic use; D005260:Female; D005402:Fistula / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011867:Radioisotope Teletherapy / Q000009:adverse effects; D011883:Radium / Q000627:therapeutic use; D012006:Rectovaginal Fistula / Q000209:etiology; D014515:Ureteral Diseases / Q000209:etiology; D014624:Vaginal Fistula / Q000209:etiology; D014719:Vesicovaginal Fistula / Q000209:etiology
chemical_list: D003037:Cobalt Radioisotopes; D011883:Radium
vernacular_title: Erfahrungen mit Radikaloperationen wegen Tumorpersistenz oder Rezidiv nach primärer Bestrahlung von Zervixkarzinomen