[Surgical treatment of cervical cancer]

The clinical data and long-term following up results of 1,320 cases of cervical cancer from Jan. 1 st, 1953 to Dec. 31 th 1988 were presented. The routine operative extent for invasive cervical cancer in this hospital has been radical hysterectomy and pelvic lymphadenectomy. The cardinal ligament, para-vaginal tissue and vaginal wall removed varied according to the different clinical stage and extent of the lesion. The operative complications were: trauma 0.8%, the postoperative complication of ureteral fistula 0.2%, and there were no operative death. Long-term following up rate were 99.8%. In this series. The cumulative survival rate calculated by computerized life table method were following: 5 year survival rate sq. cell ca. stage Ia 100%, stage > or = I b 97.6%; adenoma. 90.8%. 185 cases died, among which 60 cases died of recurrent cervical cancer, 85 cases died of other benign diseases, 40 cases died of primary cancers of other organs other than cervix of uteri. It denotes that once a patient suffers from one kind of cancer, she will have possibility of suffering from another kind of cancer.