[Radical surgery in gynecologic cancers]

The issue of surgical radicality in patients with gynecologic cancers is not seen as clearly elsewhere as it is in Austria. Systematic extirpation of the affected organ and the complete attendant lymphatic tissue can lead to excellent results. In patients with stage IIb cervical cancer, especially those with positive para-aortic nodes, surgery produces better survival rates than radiotherapy. In ovarian cancer, systemic lymphadenectomy has led to a sudden increase in survival and cure rates.