Recurrence Patterns of Cervical Cancer After Radical Hysterectomy and Pelvic lymphadenectomy at Srinagarind Hospital

ABSTRACT

Recurrent patterns after radical hysterectomy and pelvic lymphadenectomy fo rcervical cancer stage I and II A were analysed. The data collected from 1976 upto June 30 , 1988 , with the total 218 cases operated. The incidence of recurrence in this series was 9.10% ., 8.40%for stage I B, 19.40% for stage II A and no patient with stage I A recurred. There were 45% with central pelvic recurrences, 15% with pelvic sidewall recurrences , 15% with intraabdominl recurrences and 25% with distant recurrences. The recurrent rate in squamous cell carcinoma was 9.09% and adenocarcinoma 16.13% Those who had positive lymph nodes recurred in 15.20% and those who had negative nodes recurred in 8.10 % The treatment after recurrence will be presented.