Diagnostic Dilemma of Recurrent Cervical Carcinoma
Early squamous cervical carcinoma responds well to both primary surgical treatment in the form of radical hysterectomy, and also to adequate radiotherapy: cure rates in terms of 90 percent are expected. However, recurrent or residual disease has a much more sinister prognosis so that only 10 percent will be alive 2 years after diagnosis of the recurrence (Calame 1969). The detection and subsequent management of such recurrence can be very difficult, especially after radiotherapy. From the natural history of the disease it can be seen that the majority of recurrences will manifest themselves during the first 2 years following treatment and deaths due to the disease will in the main have occurred during the first 5 years. To give these cases a chance for survival, they must be detected as early as possible.
KeywordsNeedle Biopsy Obstet Gynecol Cervical Carcinoma Radical Hysterectomy Intravenous Pyelography
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