Radical operative treatment of cervical cancer

From July 1990 until the end of December 1993, 86 patients with cervical cancer were treated by radical hysterectomy and lymphadenectomy according to Wertheim, at the I. Department of Obstetrics and Gynecology of Semmelweis University Medical School Budapest. Data analysed according to the histological examination results of their surgical specimens. A good relationship was found to exist between the pathological anatomical stage of the cancer, tumor volume, incidence of lymph node involvement. The authors have combined the conventional surgery of gynecologic malignancies with the use of the CUSA. In the course of few interventions they did not experience any serious intra- or postoperative complications. The results showed that good results with surgical treatment can be achieved even for very large cancers (Stage II B) with a high frequency of lymph node involvement.