MANAGEMENT OF LATE 2ND OR LATE RECURRENT SQUAMOUS-CELL CARCINOMA OF THE CERVIX UTERI AFTER SUCCESSFUL INITIAL RADIATION TREATMENT

Late second or late recurrent squamous cell carcinoma of the cervix uteri after successful initial radiation treatment is a very rare disease. Surgery is generally accepted as the treatment of choice for late second or recurrent invasive cervical cancer. We have re-irradiated six of eight patients with very late invasive cervical cancer; three survived more than 5 years with no evidence of disease (NED); two achieved good palliative results without major complications. The treatment of choice for second in situ cervical cancer is surgery with excellent results. It is felt that there is a definite need for continued follow-up over many years, especially in the young age group to obtain early diagnosis and effective treatment. © 1979.