1991 Volume 3 Issue 4 Pages 225-229
We evaluated the clinical significance of postoperative radiation therapy following inadvertent simple hysterectomy for carcinoma of the uterine cervix. From September of 1975 through July of 1985, 21 patients with squamous cell carcinoma of the uterine cervix received radiation therapy after simple total hysterectomy. The figures of FIGO staging were Ib “occ” in 16 patients, stage Ib in 4 and stage IIb in 1. Eight patients were treated with external beam therapy (40-50 Gy/16-25 fractions/4-6 weeks) alone and 13 patients were treated with a combination of external beam therapy and high dose-rate intracavitary irradiation (20-30 Gy/4-6 f/2-3 w). Both the 5-and 10-year disease free survival rates were 89.8%. Seven patients (33.3%) developed complications, but these complications were transient and needed no medication. Our favorable result indicates that postoperative radiation therapy offers an opportunity for the cure of early cases of cervical carcinoma, such as stage Ib “occ”, which received an inadvertent simple total hysterectomy.
