Vaginal stump recurrence in carcinoma of the corpus uteri.

Among 403 women who had an operation for a cancer of the corpus uteri, and a subsequent radiation (3400 R HD) a total of 10 (2.48%) suffered from a recurrence of the cancer at the vaginal stump. For none of these ten women a 5-year-cure can be reported. To prevent a recurrence of the cancer at the vaginal stump, it is recommended that a vaginal collar should be removed during the operation. Moreover, an increased dose of irradiation of the small pelvis (6000 R HD), a postoperative vaginal Caesium-137-filling, and a preoperative filling of the uterus with radiation carriers is recommended.