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American Journal of Roentgenology, Vol 102, 161-164, Copyright © 1968 by American Roentgen Ray Society

MANAGEMENT OF STAGE I AND II ADENOCARCINOMAS OF THE UTERINE CERVIX ON INTACT UTERUS

FELIX N. RUTLEDGE M.D.1, AUGUSTO G. GUTIERREZ M.D.1, and GILBERT H. FLETCHER M.D.1

1 From Department of Surgery, Section of Gynecology, and Department of Radiotherapy, The University of Texas M. D. Anderson Hospital and Tumor Institute at Houston, Houston, Texas

Irradiation alone or very slightly diminished irradiation followed by conservative hysterectomy has produced 75 per cent 5-year survival rates in Stage I and II adenocarcinomas of the cervix which are as good as the 5-year results for squamous cell carcinomas. Primary irradiation carried to the fullest or near fullest is to be maintained; but because of the usual endocervical origin and the tendency to invade the myometrium in the patients who have a bulky endocervical lesion, the addition of a conservative hysterectomy may increase the chances of cure.


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Copyright © 1968 by the American Roentgen Ray Society.