Primary adenocarcinoma of the cervix: treatment and results

Abstract

Between 1972 and 1983, 49 patients with adenocarcinoma of the cervix were treated in four ways: (i) radiotherapy alone, (ii) pre- or postoperative radiotherapy and a total abdominal hysterectomy and bilateral salpingo-oophorectomy, (iii) Wertheim''s hysterectomy, and (iv) pre- or postoperative pelvic radiotherapy and Wertheim''s hysterectomy. The 5-year survival results for patients with FIGO Stage I disease was 90%; with Stage II disease 60%; with Stage III disease 11% and none survived with Stage IV disease. All the patients, except one (Stage III), with well-differentiated tumors are alive and disease-free, irrespective of the type of treatment they received whereas only one patient out of the 13 who had poorly differentiated tumor is alive and disease-free. Three patients had bowel damage, one after radiotherapy alone and two after Wertheim''s hysterectomy and postoperative radiotherapy. No major surgical complications occurred in this series.