[Surgical therapy of the uterine cervix carcinoma in Ib2 stage]

Carcinoma of the uterine cervix is from many years the most common neoplasm of the female minor pelvic. In case of Ib2 stage there is no concrete, optimal way of therapy. The aim of the study was to compare the ways of surgical therapy of cervical carcinoma in Ib1 and Ib2 stages. The operative and postoperative history of 63 women with diagnosed planoepithelial carcinoma of the cervix in the Ib stage was analyzed. In each case the radical hysterectomy class III after Rutledge was performed. The division on the Ib1 and Ib2 stages was performed on the base of histopathological qualification of the size of the tumor. The 2 examined group were distinguished: the 1-st-42 cases of cervical carcinoma in Ib1 stage and the 2-nd-21 cases of Ib2 staged carcinoma. The radically of the operations intra- and postoperative complications in both of the groups were compared. The results were analyzed by the Chi 2 and t tests. The medium age of the women with cervical carcinoma, in Ib1 stage was 47.3 years (the range between 32 and 52 years), the medium age the women with carcinoma in Ib2 stage was 46.6 years (the range between 39 and 59 years). On the base of analysis performed there was no statistically significant differences in radicality, medial account of lymphatic nodes removed and incidence of complications of radical hysterectomy with pelvic lymphadenectomy in case of cervical carcinoma in Ib1 and Ib2 stages detected.