[Some new aspects of the treatment for cervical cancer of I B2 stage].
From 2000 till 2005 were retrospectively analyzed 150 cases with cervical cancer stage I B. All patients were operated by radical hysterectomy type I - III with lymph mode dyssection. In 120 patients the lymph modes were negative. 30 patients had GOG Score of > or = 120. The histology of 23 patients was squamous and for 7 patients adenocarcinomas. All tumours were with invasion of outer third of the cervix. With exception of 2 patients all had lymph-vascular space invasion. In all 30 high risky patients with negative lymph nodes was used small field of postoperative radiation (dose 50-60 Gy). The patients were followed median for 40 months, as we had only 2 patients with recurrence (6%). We did not have ileus, fistulas or any other complications. By resection of the bulky lymph nodes we converted the risky patients with macro metastases into patients with micrometastases. In the postoperative period we used small field of pelvic radiation. All this lead to less complications, less recurrences and better quality of life for these patients.
Ivanov
Stefan
S
D000230:Adenocarcinoma / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008207:Lymphatic Metastasis; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*