[Characteristics of the surgical stage in the combined treatment of poorly differentiated cancer of the corpus uteri].

Ordinary extirpation of the uterus with appendages and on-indication lymphadenectomy followed by complex radiotherapy were given to 30 patients with anaplastic endometrial carcinoma at the first stage of treatment. Tumor advancement took place in 40 cases (17.4%) of extensive involvement and deep invasion of the organ. Large-fraction intracavitary gamma therapy from high-energy 60Co sources and progestin treatment were carried out preoperatively in another 30 cases who subsequently underwent similar surgery. Postoperative treatment included hormones only. No untoward side-effects of intracavitary gamma- or radiotherapy followed; nor were there surgical complications. Dissemination occurred in 2 (6.6%) cases of primary extrauterine extension of tumor. In group 2, patients' stay at hospital decreased by half.