[Morphological study on 167 Wertheim-operation specimens (author's transl)]

The squamous cell carcinoma of the uterine cervix was examined in 167 cases with the regard to the spreading and the dependence of metastazation on the size of the primary tumor. Up to a primary tumor size of 5 + 10 + 10 mm a metastazation of 1,58% in the lymph nodes, of 30,9% at stage Ib and of 57,6% at stage II was found. The metastazation rate from one stage to the other seems not to be continuously but skippy. The hysterectomy seems to be an entirely sufficient therapy in case of a microcarcinoma, provided that accurate three-dimensional measurement proves that the size does not exceed 5 + 10 + 10 mm. The Wertheim's operation should give its best results at stage Ib, as long as it includes the careful removal of the pelvic lymph nodes.