[Radical hysterectomy in stage 1-B-1 cervical cancer].
From 1980 to 1991 were received 6,295 patients diagnosed as invasive cervical cancer at the Instituto Nacional de Cancerología of México; from this group, 884 cases were considered as stage IB (12.76%) and 133 cases, adenocarcinoma in 10, adenosquamous carcinoma in 6 and minimal deviation adenocarcinoma (malignant adenoma) in one case. Eighty percent of cases had a less than 2 cm tumor size. Thirteen cases had metastatic pelvic lymph nodes. Mean age 46 years (range 28-64 years), mean operatory time 4:50 hours (range 3-15 hours), average of hemorrhage 1,500 ml (range 300 to 5,000 ml). One patient died from no related cause. Bladder malfunction was observed in 8.4% and uro-vaginal fistula in 6.9% of the cases. Thirteen patients experimented tumor relapsing after 8 to 22 months of follow up. Only 3 out of 7 from that with tumor relapsing were saved with whole pelvic radiotherapy. One hundred-fifteen patients are alive and well after 63 months mean follow-up. Radical hysterectomy plus bilateral lymphadenectomy is an optimal surgical procedure in managing early invasive carcinoma of the cervix uteri.
Ramírez-Gaitán
J L
JL
División de Servicios Paramédicos y Consulta Externa, Instituto Nacional de Cancerología, México.
Sánchez-Valdivieso
E A
EA
Soto-Pérez
G
G
Muñóz-González
D E
DE
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000236:Adenoma / Q000401:mortality / Q000601:surgery*; D000328:Adult; D018196:Carcinoma, Adenosquamous / Q000401:mortality / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D007431:Intraoperative Complications; D008875:Middle Aged; D011183:Postoperative Complications; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000601:surgery*
Histerectomía radical en cáncer de cérvix estadio 1-B-1.