[The diagnostic and therapeutic results in carcinoma of the cervix uteri].

The study was carried out on 584 women with carcinoma of the uterine cervix, hospitalized and treated at the gynecological clinic of the Higher Medical Institute in the town of Pleven for a period of 9 years (1980-1983). The mean age of the patients was 48.26 +/- 13.31 years. The hospitalized women had 2.25 +/- 0.92 deliveries and 1.87 +/- 0.69 abortions. Investigating premorbid background of the patients, the authors studied frequency and character of the most frequently encountered operative interventions--appendectomy, herniotomies, cholecystectomies, ectopic pregnancy, ulcer, which did not show special differences from the remaining population. Adenocarcinoma of the uterine cervix had, 1.34% of the women and was found more rarely in comparison with some literary data. A 5-year survival was 61.05% of the cases with established metastases and undergone treatment. The mean age of women, in whom the operation of Wertheim was made, was 35 +/- 4.52 years, but that of those with combined x-rays therapy was 62 +/- 15.49 years. Possibilities for finding carcinoma of the uterine cervix at early stages of development, according to the authors, depend to a large degree on the oncological training of gynecologists, organization of cytological examinations and exact usage of the results from colposcopic and morphological investigations.