[Invasive cancer of the cervix. Treatment adapted as a function of the available therapeutic methods]

Forty-seven patients were treated for invasive cancer of the cervix from January 1978 till December 1985. Eleven patients were submitted to intracavitary radiation 6 weeks prior to surgery. The 5 years survival rate was 82%. The other 36 patients were treated by surgery alone because radiotherapy was impossible. The 5 years survival of the latter group was 71%: Stage I: 87.5%, Stage IIa: 60%, Stage IIb: 40%. The efficiency of the intracavitary radiation was remarkably evident in the stage II N (-), concerning central recurrences. An alternative to the classical treatment in advanced cancers using a preoperative chemotherapy is currently under investigation.