[Recurrence following staged treatment of cervical cancer in stage Ia]

From 1953 to 1982 539 patients with carcinoma of the cervix stage Ia were under medical treatment in the Gynecological clinic of the Medical Academy Dresden. Then 91.1% of the women underwent restricted-radical therapy. The achieved five-year-survival rate referred to 97.6%. Five of nine (1.7%) recurrences might have been avoided by better follow-up. A curative treatment of recurrences was possible in seven cases. Vaginal hysterectomy with vaginal cuff may be further on regarded as optimum therapy for microinvasive carcinoma of the cervix in case of a histologically secure removal of atypical epithelium.