Surgical management of carcinoma of the cervix

Three hundred and fifty-two cases of carcinoma of the cervix which required some surgical procedure are reviewed. In Group I (primary treated), the lymph nodes were positive in 9% with Stage I and 45% with Staqe II disease. This group had an 88% five-year survival rate; patients with positive lymph nodes had a 60% two-year survival rate. One or more surgical complications occurred in 16.5% of patients treated for recurrent disease. The five-year survival rate in patients treated for recurrent disease was 35%. The Schauta-Amreich procedure is being used more commonly for poor-risk patients with recurrent disease confined to the cervix or with superficial vaginal involvement.