Ocena niepowodzeń po leczeniu operacyjnym raka szyjki macicy w stopniu zaawansowania klinicznego I i IIA

Abstract

Author(s): JULIUSZ KOBIERSKI, JANUSZ EMERICH

Introduction: Cervical cancer is one of the most common malignancy in women. In 2003 cervical cancer was 5th related malignancy in women in Poland. The number of new diagnosed patients was 3439.

Material and methods: The study was performed in 499 patients who had radical hysterectomy because of cervical carcinoma at stage I and IIa. There were groups who had following surgery radiotherapy and the other without radiotherapy.

Results: Metastases nodes were found in 131 patients (26,3%). There were no metastases at stage Ia disease. In stage Ib metastases were found in 24,5% of patients, in stage IIa in 38,5%. 5-year survival in patients without involved lymph nodes was 82,2% and in patients with metastatic nodes was 50,8%. The 5 years survival in women with engaged nodes treated by radiotherapy was observed in 55,5%, however in patients without after surgical radiotherapy was 33,6%.

Conclusions: 1. metastases in pelvic lymph nodes are the significant prognostic factor of long-term survival in treated women, 2. no using after surgical radiotherapy in patient with involved nodes making worse the long-term survival.

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