Author/Editor		Rakar, Stelio; Erzen, Mojca
Title		Surgical treatment of early invasive cervical carcinoma
Type		članek
Source		Przegl Lek
Vol. and No.		Letnik 53, št. Suppl 4
Publication year		1996
Volume		str. 125-8
Language		eng
Abstract		The treatment of early invasive cervical carcinoma (stage IA) should be based on the evaluation of prognostic factors in order to avoid overtreatment as well as undertreatment. At our Department the majority of 290 patients in the period 1960-1972 were treated by radical vaginal hysterectomy sec. Schauta-Amreich (62%) or radical abdominal hysterectomy sec. Wertheim-Meigs-Novak (25%), and only 5% by conization. A more conservative surgical treatment was adopted in 1981 when a scoring system, based on the evaluation of morphological criteria (cell type, mitotic activity, type of invasion - buds, drops, confluent type, intensity of immunological defence reaction, capillary-like space invasion, depth of invasion), was introduced. Therefore, in the period 1981-1988 of the total 83 cases 36% were treated by conization, 34% by simple hysterectomy, and only 30% by radical hysterectomy. In the last observed period (1989-1993) the surgical approach, based on our scoring system, became even more conservative; 74 cases were treated as follows: conization in 51%, simple hysterectomy in 27%, simple hysterectomy with pelvic lymphadenectomy in 15% and radical hysterectomy in only 7%. In conclusion in the last 20 years the treatment of early invasive cervical carcinoma has become more individualised and conservative. In our patients the diagnosis of microinvasion was always confirmed by microscopic examination of serial step sections of the cervical cone.
Descriptors		CERVIX NEOPLASMS HYSTERECTOMY CONIZATION NEOPLASM STAGING NEOPLASM INVASIVENESS TREATMENT OUTCOME