Risk Factors for Recurrences of Cervical Cancer After Radical Hysterectomy and Pelvic Lymphadenectomy at Srinagarind Hospital

Abstract

The study of risk factors for recurrence of carcinoma of cervix after radical hysterectomy and pelvic lymphadenectomy for stage I and IIA was carried out among patients operated upon at Srinagarind Hospital from 1976 to June 30, 1988. There was no recurrence among patients with stage IA. The recurrent rates were 8.40 and 19.40% for stage IB and IIA respectively. The recurrent rates among patients with pelvic nodes involvement and without nodes involvement were 15.20 and 8.10% respectively. Again, with endometrial involvement the recurrent rate among these patients was 40.40% while only 7.70% recurrent rate encountered in those without endometrial involvement. The dilference was significant statistically .The age of the patients and extent of lesions were the important risk factors. Microscopic findings, type of lesions, surgeons and surgical techniques played no important role in recurrence of the cancer. (Thai J Obstet Gynae col 1989;1:47-55)