The methods and results of uterine body cancer: a twenty-year experience of treatments at the Tbilisi Oncological Center

In the period 1968-1987 at the Oncological Scientific Center of Tbilisi 1100 Endometrial Cancer were observed. All patients were treated surgically and in particular 89.9% cases with total hysterectomy and adnexectomy; 9.8% with hysterectomy, adnexectomy and lymphadenectomy; 0.3% with Wertheim's operation. The Author suggests a pathological staging system with in the first stage (cancer limited to the uterus) in order to better select the treatment and prognosis of patients. According to his classification 5 years survival was 88.1% when tumour was absent in the operative specimen; 82.6% when the tumor was less 2 cm; 67.5% for tumour more than 2 cm; 60.3% when less than half of the myometrium was involved and 40.8% with more than half of the myometrium. The Author confirms the validity of surgical therapy in endometrial cancer eventually associated with hormonal and/or radiotherapy for the cases more at risk.