The Treatment of Carcinoma of the Cervix
On scanning the literature since 1900 on the treatment of cancer of the cervix one finds that three periods are represented. During the first period the surgical treatment was emphasized and the reports consisted chiefly of descriptions of operations and surgical end-results. Then there was the period of controversy concerning the relative merits of surgery and radium. During the past ten years, in this country, and with few exceptions on the continent, most of the literature has dealt with radiation therapy, its technic and end-results. An analysis of these results would seem to indicate that, for the time being at least, radium and roentgen ray is the treatment of choice, not only from the standpoint of the rate of curability but also from the standpoint of palliation, morbidity and economy.
In this paper, I am reporting a series of 420 cases of cancer of the cervix, in which the patients were examined, treated and observed during the period from 1920 to 1931, inclusive. In this group, there were 302 cases of primary carcinoma, in eighty there were recurrences following operation or irradiation elsewhere and in eighteen, the lesions were too far advanced for any possible treatment. Twenty patients in this group refused treatment or sought medical advice elsewhere.
I shall not take time to discuss the diagnosis of carcinoma of the cervix. It has been dwelt upon time after time. Yet, on reviewing my series of cases, it is not pleasant to have to admit that in patients examined in. . .