IMR Press / EJGO / Volume 23 / Issue 3 / pii/2002154

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Different types of hysterectomy in the radio-surgical treatment of early cervical cancer (FIGO Ib-IIa)

Show Less
1 Gynecological Oncology Department, University of Turin, Mauriziano Umberto I Hospital Institute for Research and Treatment of Cancer (IRCC) Candiolo, Turin (Italy)
2 Arturo Pinna Pintor Foundation, Turin (Italy)
Eur. J. Gynaecol. Oncol. 2002, 23(3), 236–242;
Published: 10 June 2002

Purpose of investigation: Surgery and radiotherapy achieved equivalent results for FIGO stages Ib-IIa invasive cervical carci­noma. The integration of radiotherapy and surgery provided the same results for a selected series of patients without increasing the rate of complications. The aim of the study was to verify if, applying a radio-surgical protocol, the reduction of the surgery exten­sion on the parametrium in one of two consecutive series might achieve the same results in terms of survival and recurrence rates with fewer complications. Material and Methods: We analysed actuarial survival (with > 10-year follow-up), local control rates and morbidity of 390 patients who had different the kinds of surgery applied in the radio-surgical treatment protocol: Protocol A: brachytherapy plus type III radical hysterectomy vs Protocol B: brachytherapy plus type II radical hysterectomy. Patients were all included in an analysis of complications according to the French-Italian glossary. Results: Analyses showed no differences in terms of survival, patterns of recurrences and onset time within the two protocols. Urinary complications were more frequent and severe in protocol A vs protocol B (G2: 26.5% vs. 6.1%; G3: 5.3% vs. 3.6%). Conclusion: Our study pointed out that the reduction of the surgery extension allowed the same overall survival and relapses with fewer complications particularly in terms of grade of severity.

Cervical cancer
Glossary of complications
Back to top