Treatment of Surgical Cancer Stage IB

Authors

  • Mostafa A Selim Department of Reproductive Biology Case Western Reserve University School of Medicine Department of Obstetrics and Gynecology Division of Gynecologic Oncology Metro Health Medical Center Cleveland, Ohio
  • Abdelwahab D. Shalodi Department of Reproductive Biology Case Western Reserve University School of Medicine Department of Obstetrics and Gynecology Division of Gynecologic Oncology Metro Health Medical Center Cleveland, Ohio

DOI:

https://doi.org/10.5915/23-3-15218

Keywords:

Cervical carcinoma, Stage IB, Radiotherapy, Radical hysterectomy

Abstract

DOI: http://dx.doi.org/10.5915/23-3-15218

Debate continues as to the efficacy of irradiation therapy versus radical surgery in Stage IB carcinoma of the cervix. The few reported randomized series demonstrate that the results are comparable in each series. Radical hysterectomy in skilled hands is a safe procedure and mortality is reducible. In the meantime, the number of radioresistant lesions are small; radiation injuries are low but occur in later years and are difficult to treat. None of the available data show that combined treatment has a better survival rate than the use of one modality alone.

Patients with stage IB should be examined and discussed individually in conference with a gynecologic oncologist and radiation therapist. Utilizing all the above factors and the clinical parameters, young and healthy patients are more suitable for surgical treatment while the remainder may be treated by irradiation alone. In the meantime, some patients will benefit from modified methods of combined treatment.

Author Biographies

Mostafa A Selim, Department of Reproductive Biology Case Western Reserve University School of Medicine Department of Obstetrics and Gynecology Division of Gynecologic Oncology Metro Health Medical Center Cleveland, Ohio

M.D., F.A.C.O.G.

Department of Reproductive Biology
Case Western Reserve University School of Medicine

Department of Obstetrics and Gynecology
Division of Gynecologic Oncology
Metro Health Medical Center

Cleveland, Ohio

Abdelwahab D. Shalodi, Department of Reproductive Biology Case Western Reserve University School of Medicine Department of Obstetrics and Gynecology Division of Gynecologic Oncology Metro Health Medical Center Cleveland, Ohio

F .A.C.O.G.

Department of Reproductive Biology
Case Western Reserve University School of Medicine

Department of Obstetrics and Gynecology
Division of Gynecologic Oncology
Metro Health Medical Center

Cleveland, Ohio

 

Downloads

Published

1991-07-01

Issue

Section

Review Articles