The treatment of stage I carcinoma of the cervix in the west of Scotland 1980-1987.

ABSTRACT

OBJECTIVE: To examine the results of different treatments for Stage IA and IB carcinoma of the cervix in patients treated in the West of Scotland between 1980 and 1987. DESIGN: A retrospective review of case records. SETTING: The Beatson Oncology Centre, Western Infirmary and Belvidere Hospital, Glasgow, and the departments of gynaecology of hospitals in the west of Scotland. SUBJECTS: One hundred and five patients with Stage IA and 420 patients with Stage IB carcinoma of the cervix. RESULTS: A variety of treatments were used for women with Stage IA disease, with an overall actuarial five year survival of 100%. The overall actuarial five year survival for women with Stage IB disease was 79.5%. Patients with Stage IB disease treated by radical hysterectomy (n = 123) or radical radiotherapy (n = 229) had similar five year survival rates (86.3% and 79.5%, respectively), whereas patients treated initially by nonradical surgery (n = 68) had a significantly worse five year survival (68.1%; P = 0.008). CONCLUSIONS: These results emphasize the need for adequate and appropriate surgery and the centralisation of treatment for early cervical cancer.