Traitement chirurgical du cancer du col uterin [a prepos de 113 CAS]

ABSTRACT

We report in this study 113 cases of the cancer of uterine neck operated in obstetric gynecology [professor OSTOWAR] at the Souiss maternity of Rabat over a period from January 1st, 1970 to December 31st, 1990. 88 cases [77,88%] of our patients are multiparas.Average age is 41 with extremes of 20 and 70 years. [57,29%] are in a period of genital activity.30 cases [26,55%] are in a period of menaupose. The most frequent recealing sign is metrorrhagia, it is observed in 102 cases [90,27%]. The lack of precocions detection, of prophylaxy and hygiene make that the majority have come to consult at a late stage. Thus, almost half of them [49,56%] have come at stage IIB Budding and ulcero-budding forms are the most frequent 100 cases [88,50%] underwent surgical treatment of EIGS type. The other patients, 7 cases [6,19%] underwent a Weir theim and 6 cases [5,30%] did a hysterectomy. Prognosis is good in the majority of the cases, the number of cure is 93 cases [82,30%]. Yet, post-operation complications are especially ureteral 10 cases [8,85%]. Recurs are not rare -12 cases of local recur-3 cases of for metastases