Surgical Treatment of Cancer of the Cervix Recurring after Primary Irradiation Therapy

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Abstract
THE proper management of carcinoma of the cervix persistent or recurrent at the local site or in the upper vagina after definitive radiation therapy has always been a discouraging problem. The most experienced radiotherapists have little enthusiasm for retreatment in this area when the initial treatment has been adequate.1 , 2 If it is thought that insufficient radiation was given originally, the therapist may elect to give the patient another course of radiation. In most other cases, however, recurrence indicates that the tumor is unresponsive, and any further radiation simply tends to make the patient miserable without increasing longevity.In some cases . . .

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