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PANHYSTERECTOMY VERSUS IRRADIATION FOR EARLY CANCER OF THE UTERINE CERVIX

1943; American Medical Association; Volume: 122; Issue: 14 Linguagem: Inglês

10.1001/jama.1943.02840310022006

2376-8118

Howard W. Jones, Georgeanna E.S. Jones,

Cancer Risks and Factors

It is the clinical impression of many gynecologists that panhysterectomy offers a satisfactory method of treatment for selected cases of early cancer of the cervix. In the most recent report on cancer of the cervix from the Kelly Clinic, 1 1 patient with a recurrence after operation was treated for every 10 patients admitted with primary cancer of the cervix. We have reviewed a selected group of 36 cases of early carcinoma of the cervix treated with panhysterectomy and compared the results with 704 unselected cases in all stages, treated with radiation. It is, however, not a matter simply of comparing gross and absolute cure rates; other factors must be considered. For example, Martzloff 2 demonstrated with operable material that the microscopic appearance was of importance in determining prognosis. Due consideration must be given to such an essential aspect. We have also reviewed the curability in relation to the microscopic