PROGNOSIS OF ADENOCARCINOMA OF THE UTERINE CERVIX

In a material of 42 patients with adenocarcinoma of the uterine cervix, Stages I and II, large tumor extension was recorded in 7 out of 8 patients in Stage IIA and in 5 out of 13 patients in Stage IB, all of whom had been given preoperative radiotherapy. Four patients out of 7 primarily given conization or hysterectomy for supposed preinvasive cancer had tumors growing deeply within the cervical stroma. The unexpected large tumor extension probably explains the less favorable prognosis for patients with cervical adenocarcinoma. The 2- and 5-year tumor death rates were approximately 21% and 10 23, respectively. A combined radiotherapeutical and surgical approach is presented. © 1979.