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Carcinoma of the Cervix

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Abstract

Despite numerous technical and clinical advances in the methods of treatment of carcinoma of the cervix, 65 to 75 per cent of patients with this disease die within 5 years. There are many factors responsible for this alarming death rate, the most common of which is the failure of patients to seek medical advice early enough. In Miller’s1 series there was a 7 months’ delay from the onset of symptoms before medical attention was sought. Another factor is that physicians frequently minimize the importance of symptoms and do not recognize the signs of cancer of the uterus.

In considering the treatment of uterine cervical cancer, it is customary to classify cases according to the League of Nations Stages.

Stage I

The carcinoma is strictly confined to the cervix.

Stage II

Parametrium — the carcinoma infiltrates the parametrium on one or both sides but has not invaded the pelvic wall.

Vagina — the carcinoma infiltrates the vagina but does not involve its lower third.

Corpus — endocervical carcinoma which has spread to the corpus.

Stage III

Parametrium — the carcinomatous infiltration of the parametrium on one or both sides has invaded the pelvic wall. On rectal examination no cancer-free space is found between the tumor and pelvic wall.

Vagina — the carcinoma involves the lower third of the vagina. Isolated carcinomatous metastases are palpable on the pelvic wall (irrespective of the extent of the primary cervical growth).

Stage IV

Bladder — the carcinoma involves the bladder as determined by the presence of a vesicovaginal fistula.

Rectum — the. . .


 

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