CERVICAL-CARCINOMA IN WOMEN LESS-THAN 35 YEARS OF AGE

We retrospectively studied 80 patients, less than 35 years old, who we re being treated for invasive cervical carcinoma at Charity Hospital o f Louisiana in New Orleans. The period covered by the study was March 1980 to November 1989. The study group represented 9.3% (80/862) of th e total patients seen with the disease. Disease stage was IB in 50 pat ients, IIA in 4, IIB in 14, IIIA in 5, IIIB in 6, and IVA in 1 patient . Histopathologic classes included 74 squamous cell carcinomas, 3 aden osquamous carcinomas, 2 adenocarcinomas, and 1 anaplastic carcinoma. T reatment used was either radical hysterectomy, irradiation alone, or i rradiation followed by hysterectomy. Five-year actuarial survival rate s were as follows: stage IB, 81.6%; stage IIA, 25.0%; stage IIB, 29.8% ; stage IIIA, 20.0%; and stage IIIB, 33.4%. The only patient with stag e IV cancer died of disease. Our findings do not reveal a relationship between age and survival in stage IB carcinoma of the cervix, and the numbers in the other stages are too small to comment on.