[Problems in the treatment of cervical carcinoma]

With improved cytologic diagnosis and popularization of mass screening examination, early diagnosis and early treatment of cervical cancer have become possible, and the salvage has much been improved. However, some problems stil remain unsolved. The principle treatment of cervical cancer now consists of surgery and radiotherapy, which have produced excellent treatment results. Nevertheless the complication of injury to the pelvic organs, such as urinary tract and the rectum, is somewhat inevitable on applying surgery and radiotherapy. Since the early cancer cases of young women become increasing nowadays, functional conservation of the ovary and the reproductivity should also be considered. On the other hand, in the cases of advanced carcinoma and the recurrent carcinoma, the treatment by surgery and radiotherapy has its deficit and is considered to be inadequate. Therefore, a combination therapy including surgery, irradiation and chemotherapy has to be tried in order to improve the result.