Il Cancro Del Moncone Cervicale (Studio su 125 casi)

Abstract

Out of 4493 cases of cervical carcinomas observed in the Cancer Institute of Milan, 125 involved the residual stump; 42 of them occurred in the first two years following sub-total hysterectomy (coexistent cancers), the other ones later (true cancers). In 4 cases the first symptoms occurred from 35 to 38 years after operation. The total 5-years survival is of the 34.9 per cent, but there is a remarkable difference between coexistent and true carcinomas (5-years survival of the 23.3 and the 41.5 per cent respectively). Parity does not seem to play an important role in the development of carcinoma of the residual stump. After having discussed the doses and technique of radium- and roentgentherapy, the complications (fistulas in the 10 per cent about) and the results of these treatments in the different stages are surveyed. In the 1st stage the therapy of choice would be surgery associated with radium- and roentgentherapy, whereas in the 2nd and 3rd stage radium-roentgentherapy alone can attain good results. Finally, it is advised a larger indication of total histerectomy in those cases unfit for a more conservative operation (myomectomies, defundatio).