[Combined and surgical treatment of cervical cancer]

The many-year experience with the treatment of cervical cancer in the gynecological clinic of the P. A. Herzen Research Institute of Oncology has indicated that a combined method in case of the appropriate indications provides for high and persistant late results. The five-year recovery of patients at all stages was noted in 78.7% (I stage--87.3%; II stage--71.6%; III stage--41.7%). Improvement of therapeutic and diagnostic methods, strict adherence to the principles of a differential approach to selecting the type of therapy enabled increasing the per cent of a five-year cure from 68.9%' (1945--46) to 91.8% in 1965--1969. The clinical features of microinvasive cervical cancer (stage Ia) made it possible to reduce the extent of the treatment applied on account of excluding a radiation component and lessening the extent of surgical intervention. A five-year cure by the surgical method in patients with cervical cancer of stage Ia made up 97%. The results of the combination therapy in patients with stage Ib within the same period yielded 94%.