Abstract
Combined therapy of irradiation and surgery in the treatment of carcinoma of the cervix has been used in different ways for decades. The advocates of this combination offer explanations for the benetifs of combined therapy. These depend on whether they themselves are surgeons or radio therapists. The surgeons explain the advantages of pre-operative radiation as being the destruction of the primary neoplastic lesion, particularly at the edges of the tumour mass, decreasing the tumour cell spread during the operation. In addition they can make less extensive ureteral dissection, smaller vaginal cuffs as well as decreasing the surgical difficulties by reduction of the size of the tumour.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Kottmeier H-L. 1964. Surgical and radiation treatment of carcinoma of the uterine cervix. Acta Obstet Gynecol Scand 43(Suppl 2):1-48.
Rampone JF, Klem V, Kolstad P. 1973. Combined treatment of stage IB carcinoma of the cervix. Obstet Gynecol 41:163–167.
Pettersson F, Foriou S, Einhorn N, Silfverswärd C. 1985. Cohort study of the long-term effect of irradiation for carcinoma of the uterine cervix. Acta Radiol Oncol Fase 224:145–151.
Rutledge FN, Fletcher GH, MacDonald EE. 1965. Pelvic lymphadenectomy as an adjunct to radiation therapy in treatment for cancer of the cervix. Am J Roentgenol Radium Ther Nucl Med 93:607–614.
Einhorn N, Einhorn L, Gebbie DAM, Willey B. 1974. Preoperative radiotherapy in the treatment of cervical carcinoma in Africa. XI International Cancer Congress in Florence.
Leveuf J, Godard H. 1934. L’envahissement des ganglions lymphatiques dans le cancer du col de l’uterus. J Chir (Paris) 43:177.
Taussig FJ. 1943. Iliac lymphadenectomy for group II cancer of the cervix. Am J Obstet Gynecol 45:733–748.
Gordon G. 1957. Radiation therapy and excision of the lymph nodes in cervical cancer. Progr Gynecol 3:594–603.
Stallworthy J. 1964. Radical surgery following radiation treatment for cervical carcinoma. Ann Roy College Surg Engl 34:161–178.
Cullhed S. 1978. Carcinoma cervicis uteri stages I and IIA. Linköping University Medical Dissertation No. 59.
Einhorn N, Patek E, Sjöberg B. 1985. Outcome of different treatment modalities in cervix carcinoma stage IB and IIA. Cancer 55:949–955.
Jansson I, Himmelmann A, Dennefors B, Bendz A. 1984. Results of combined rediological and surgical therapy of carcinoma of the uterine cervix stage IB and IIA (Abstract). Nordisk Forening for Obstetrik og gynaekologi, Odense, Denmark.
Iversen T, Kjöstad KE, Martimbeau PW. 1982. Treatment results in carcinoma of the cervix stage IB in a total population. Gynecol Oncol 14:1–5.
Gynning I, Johnsson J-E, Alm P, Tropé C. 1983. Age and prognosis in stage IB squamous cell carcinoma of the uterine cervix. Gynecol Oncol 15:18–26.
Surwit E, Fowler WC Jr, Palumbo L, Koch G, Gjertsen W. 1976. Radical hysterectomy with or without preoperative radium for stage IB squamous cell carcinoma of the cervix. Obstet Gynecol 48:130–133.
Villasanta U. 1967. Combined radium therapy and radical hysterectomy with pelvic lymphadenectomy in treatment of invasive cancer of the cervix. Obst Gyrecol 32:6–10.
Hansen MK. 1981. Surgical and combination therapy of cancer of the cervix of the cervix uteri stages IB and IIA. Gynecol Oncol 11:275–287.
Marziale P, Atlante V, Le Pera V, Marino T, Pozzi M, Iacovelli A. 1981. Combined radiation and surgical treatment of stages IB and IIA carcinoma of the cervix. Gynecol Oncol 11:175–183.
Bonar LD. 1980. Results of radical surgical procedures after radiation for treatment of invasive carcinoma of the uterine cervix in a private practice. Am J Obstet Gynecol 136:1006–1008.
Timmer PR, Aalders HG, Bouma J. 1984. Radical surgery after preoperative intracavitary radiotherapy for stage IB and IIA carcinoma of the uterine cervix. Gynecol Oncol 18:206–212.
Novak F. 1963. Procedure for the reduction of the number of ureterovaginal fistulas after Wertheim’s operation. Proc R Soc Med 56:881.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1987 Martinus Nijhoff Publisher, Boston
About this chapter
Cite this chapter
Einhorn, N. (1987). Pre-operative radiotherapy for carcinoma of the cervix. In: Surwit, E.A., Alberts, D.S. (eds) Cervix Cancer. Cancer Treatment and Research, vol 31. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2027-2_5
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2027-2_5
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9207-4
Online ISBN: 978-1-4613-2027-2
eBook Packages: Springer Book Archive