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[Uterus corpus extension of primary cervical carcinoma IIA-IIB]
J Smutek1, D Wójcik, J Mielnik
1I Kliniki Połoznictwa i Ginekologii Instytutu Połoznictwa i Chorób Kobiecych Akademii Medycznej w Gdańsku.
Objectives:
The infiltration of uterine body is observed in 20-43% of patients with primary cervical cancer in stage II.
Materials And Methods:
A hystoclinical, retrospective analysis of 175 patients with IIA-IIB cervical carcinoma, on whom Wertheim-Meigs surgery was performed between 1972-1991, was done. Infiltration of the uterine corpus was observed in 35 patients. The presence and depth of extension of uterine corpus infiltration, presence of metastatic lymph nodes, vascular invasion and uterine vascular emboli as well as fornical and paramertial infiltration were assessed with regard to 5-year survival.
Results:
It was found that evaluation of uterine corpus infiltration, based on our scale of depth and extension is useful for prognosis of patients (p < 0.001).
Conclusion:
In stage II of primary cervical cancer deep and extensive uterine corpus infiltration is an independent and detrimental prognostic factor.