RESUMO
Of 266 cases of invasive carcinoma of the cervix, 17 cases were complicated by pregnancy. All were treated by radical Wertheim hysterectomy with Taussig node dissection followed by postoperative irradiation, resulting in a 100% five-year survival rate. Of these 17 cases of invasive carcinoma of the cervix, 12 were stage I and five were stage II (International). This paper outlines the treatment, complications, and survival rate. We believe this treatment protocol is the treatment of choice when invasive cervical carcinoma is complicated by pregnancy.
Assuntos
Carcinoma de Células Escamosas/terapia , Complicações na Gravidez/terapia , Neoplasias do Colo do Útero/terapia , Adulto , Carcinoma de Células Escamosas/mortalidade , Feminino , Humanos , Histerectomia , Excisão de Linfonodo , Pessoa de Meia-Idade , Gravidez , Radioterapia de Alta Energia , Neoplasias do Colo do Útero/mortalidadeRESUMO
Results of combined surgical and radiation therapy for invasive carcinoma in 266 patients treated between 1945 and 1970 are presented. Treatment protocol included radical Wertheim hysterectomy, Taussig node dissection, and deep pelvic irradiation. All cases were staged according to the International Staging System. The five-year survival for patients with disease in stages I, II, and III was 80.5%. All of the 32 patients with cervical stump carcinoma or cervical carcinoma complicated by pregnancy survived. Of the 52 patients with lymph node metastasis, 55.7% survived.
