THE TREATMENT OF STAGE-I CARCINOMA OF THE CERVIX IN THE WEST OF SCOTLAND 1980-1987

Objective To examine the results of different treatments for Stage IA and IB carcinoma of the cervix in patients treated in the West of Scot land between 1980 and 1987. Design A retrospective review of case reco rds. Setting The Beatson Oncology Centre, Western Infirmary and Belvid ere Hospital, Glasgow, and the departments of gynaecology of hospitals in the west of Scotland. Subjects One hundred and five patients with Stage IA and 420 patients with Stage IB carcinoma of the cervix. Resul ts A variety of treatments were used for women with Stage IA disease, with an overall actuarial five year survival of 100 %. The overall act uarial five year survival for women with Stage IB disease was 79.5 %. Patients with Stage IB disease treated by radical hysterectomy (n = 12 3) or radical radiotherapy (n = 229) had similar five year survival ra tes (86.3% and 79.5 %, respectively), whereas patients treated initial ly by nonradical surgery (n = 68) had a significantly worse five year survival (68.1%; P = 0.008). Conclusions These results emphasise the n eed for adequate and appropriate surgery and the centralisation of tre atment for early cervical cancer.