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[Ten-year record of surgical treatment of gynaecological carcinomas at Kaiser-Franz-Josef Hospital (author's transl)].

Brief reference to surgical techniques applied to carcinomas of the cervix, corpus, and ovaries is followed by a comprehensive report in greater detail on carcinoma patients treated between 1969 and 1978. Mention is made first of carcinoma of the cervix, with particular reference being made to its preliminary phases, including basal hyperplasia, dysplasia, carcinoma in situ, and microcarcinoma. No patients in preliminary phases at all had been admitted to hospital in 1969, but almost 100 patients per annum were hospitalised more recently, in the wake of extended routine testing, including colposcopy, Papanicolaou's diagnosis, and checks by reflected light. The total number of patients admitted over the ten years under review has been 476, with carcinomas being detected in most of them by conisation. Wertheim's radical surgery with lymph node exstirpation was applied to 221 cases of invasive carcinoma of the cervix. Hysterectomy, with both adnexa involved, and lymph node exstirpation were applied to 154 cases of corpus carcinoma. The uterus only, but usually together with the adnexa, was removed in 19 cases. Surgery was applied to 109 cases of ovarian carcinoma, with adnexa being removed, in some cases with hysterectomy and omentumectomy. Also admitted were 17 patients with different types of carcinomas and eleven cases of uterus sarcoma. Surgical treatment was given to 984 of 1,130 genital carcinomas, bringing the overall operability rate to 87 per cent. Primary therapeutic irradiation was decided for most of the other patients. Ther overall mortality was 1.6 per cent (16 cases).