Recurrent cancer of the cervix following radical hysterectomy and pelvic node dissection

Hans B. Krebs, B. Frederick Helmkamp, Bernd U. Sevin, Steven R. Poliakoff, Mehrdad Nadji, Hervy E. Averette

Research output: Contribution to journalArticlepeer-review

120 Scopus citations


Forty patients with recurrence following radical surgery for early invasive cancer of the cervix were studied. Fifty-eight percent of the recurrences were observed within the first 12 months after surgery and 83% within the first 2 years. The site of recurrence was found to influence diagnosis, symptomatology, clinical findings, prognosis, cause of death, and therapy. The prognosis for patients with recurrent cervical cancer was poor, with only 5 patients (13%) surviving free of disease after 5 years. One patient is presently alive and without disease for more than 2 years. Patients who did not receive a potentially curative course of radiation therapy at the time of diagnosis of the recurrence had a poor prognosis. None of the patients managed by exenterative procedures or chemotherapy survived. Guidelines are suggested for follow-up after primary radical hysterectomy and pelvic node dissection.

Original languageEnglish (US)
Pages (from-to)422-427
Number of pages6
JournalObstetrics and gynecology
Issue number4
StatePublished - Apr 1982

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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