title: [Radical hysterectomy for cervix uteri cancer. Experience with 217 patients].
abstract: This paper reports an analysis of 217 patients with invasive carcinoma of the cervix, treated with radical histerectomy at The Oncology Service, General Hospital of Mexico. The commonest complications of surgical procedure, were related with the urinary tract: atony bladder observed in 27.6% of patients, vesico-vaginal fistulas in 7.8% and uretero-vaginal fistulas, in 5.5%. Lymph node metastases were present in 20/143, (13.9%) patients classified as belonging to stage Ib and 10/51, (19.6%) of stage IIa, p less than 0.05. After a follow-up period of two years, 92/101, (91%) of patients in stage Ib, 24/32, (75%) in stage IIa, p less than 0.05, 69/73 with tumor less than 2 cm and 111/125, (88.8%) without lymph node metastases, were free of disease. A poor prognosis was related with tumor size of 4 cm or more, 12/18, 66%); adenosquamous carcinomas, (7/11, 63.6%); poorly differentrated carcinomas, (13/20, 65.8%) and lymph node metastases, (8/15, 53.3%).
authors.affiliation: Servicio de Oncología, Hospital General de México, SS, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Torres Lobatón
authors.forename: M
authors.initials: M
authors.lastname: Matías Salvador
authors.forename: D
authors.initials: D
authors.lastname: Hernández Aten
authors.forename: E
authors.initials: E
authors.lastname: Román Bassaure
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D008207:Lymphatic Metastasis; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
vernacular_title: Histerectomía radical por cáncer cervicouterino. Experiencia con 217 pacientes.