[1st lymphogram and lymphographic course monitoring in the surgical management of cervix carcinoma].

The results of pre-lymphographic examinations and the post-operative control of 503 patients with cervix-cancers will be evaluated. In order to justify the lymphographic results, the histological results of 353 cases of examined patients could be analysed. Agreement between lymphographic and histological results amount to 75%. As a result of this, the individualized therapy of cervix cancers will be discussed. Thereby, special significance is given to the question of percutane radio-therapy. Only by micro-cancers with normal lymphogram, the lymphadenectomy will be desisted. Otherwise, the modified hysterectomy with vaginal cuff and bilateral lympadenectomy will be carried out. In 5% of the examined patients, primarily lumbar metastasis by operable cases could be diagnosed. New lymphnode metastasis appeared in 5% of the operated patients. Important for the individualized therapy is an exact praetherapeutic, especially histological diagnosis through conisation as well as a subtle histological examination of operated material including the exstirpated lymph-node.