[Single vaginal vault recurrences following endometrial carcinoma stage 1 treated by operation (author's transl)]

From 1950--1975 201 women had total abdominal hysterectomies and bilateral salpingoophorectomies for stage 1 carcinoma of the endometrium, out of a total of 280 endometrial carcinomas. All patients had post-operative external radiation. A prophylactic vaginal radium insertion was not done. Of 191 follow-up cases from between 2 and 10 years following the operation 2 patients had recurrences of the vaginal vault and 2 patients had single vaginal metastases. Based on a study of the literature and the personal results, it is suggested that a prophylactic vaginal radium insertion is justified only in cases of undifferentiated endometrial carcinomas stage 1 group I type G3 with 50% or more tumour invasion of the myometrium.