Mühlberger G
Geburtshilfe Frauenheilkd. 1975 Jan;35(1):27-36.
The squamous cell carcinoma of the uterine cervix was examined in 167 cases with the regard to the spreading and the dependence of metastazation on the size of the primary tumor. Up to a primary tumor size of 5 + 10 + 10 mm a metastazation of 1,58% in the lymph nodes, of 30,9% at stage Ib and of 57,6% at stage II was found. The metastazation rate from one stage to the other seems not to be continuously but skippy. The hysterectomy seems to be an entirely sufficient therapy in case of a microcarcinoma, provided that accurate three-dimensional measurement proves that the size does not exceed 5 + 10 + 10 mm. The Wertheim's operation should give its best results at stage Ib, as long as it includes the careful removal of the pelvic lymph nodes.
对167例子宫颈鳞状细胞癌患者进行了研究，观察其扩散情况以及转移与原发肿瘤大小的关系。原发肿瘤大小达5 + 10 + 10毫米时，发现淋巴结转移率为1.58%，Ib期为30.9%，II期为57.6%。从一个阶段到另一个阶段的转移率似乎并非连续变化，而是跳跃式的。对于微癌，只要精确的三维测量证明肿瘤大小不超过5 + 10 + 10毫米，子宫切除术似乎是一种完全足够的治疗方法。只要包括仔细清除盆腔淋巴结，韦特海姆手术在Ib期应能取得最佳效果。
