Article Text

Download PDFPDF
The influence of staging laparotomy for cervical cancer on patterns of recurrence and survival
  1. M. E. POTTER*,
  2. S. SPENCER,
  4. K. D. HATCH*
  1. *Division of Gynecologic Oncology
  2. Departments of Radiation Oncology
  3. Biostatistics, The University of Alabama, Birmingham, Alabama, USA
  1. Address for correspondence: Mark E. Potter, MD, LTC, MC, USA, Madigan Army Medical Center, Tacoma, WA 98431-5000, USA.


A matched paired study of surgically staged and non-surgically staged patients with stage II and III cervical carcinoma from October 1974 through August 1987 was retrospectively performed. Eight of 55 (13.8%) had para-aortic lymph node involvement. After tailored extended field radiation 2/8 (25%) remain alive without evidence of disease. Patient survival although slightly in favor of the unstaged group was similar. Patterns of recurrence were similar amongst treatment groups. Para-aortic nodal recurrence, despite tailored radiation therapy, was identical (5.4%) in the staged and unstaged groups. Only one patient (not surgically staged) had an isolated para-aortic recurrence. With the morbidity of an operative procedure and similar survival rates and para-aortic nodal recurrence rates, the value of staging laparotomy in improved patient survival is questioned. Pelvic failure and other distant metastases continue to be the major sites of recurrences.

  • cervical cancer
  • surgical staging

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.