PROGNOSTIC FACTORS AFFECTING THE RESULTS OF SURGICAL TREATMENT OF CERVICAL CANCER

From October, 1963 to December, 1992, 1213 cases with cervical cancer were treated surgically in our hospital, among whom 922 cases, including 305 in stage 0, 123 in stage I_A, 212 in stage I_B, 265 in stage II_A, 17 in stage II_B, were operated before February, 1990. Among the 617 available cases, excluding those in stage 0, the five-year survival rates 95.1% in stage I_A, 91.0% in stage I_B, 83.1% in stage II_A, and 59.0% in stage II_B, respectively. The results showed that cervical tumor greater than 4 cm in diameter, invasion in muscular layers, lower degree of differentiation and pelvic lymph nodes metastasis would lead to worse therapeutic effects. The method of pelvic lymphadeaectomy, pathological types, and ages of the patients, however, did not at all correlate with the survival rates of the patients. For those who have risk factors mentioned above active adjutant treatments are indicated.