젊은 연령에서 발생한 자궁경부암 병기 IB의 수술 및 방사선치료 결과

Therapeutic Results of Surgery and Radiation Therapy in Younger Patients with Stage ⅠB Cervical Cancer

Purpose : To evaluate the prognostic importance of age in patients with Stage ⅠB cervical cancer we examined the relationship between age and survival in patients. Methods and Materials : Retrospective analysis was performed on 107 patients with Stage ⅠB cervical cancer: 79 patients were treated with surgery followed by postoperative radiotherapy or radiation alone between October 1983 and August 1993 and 28 patients with Stage ⅠB cervical cancer treated with surgery alone between January 1989 and August 1993 at inje University Seoul Paik Hospital. Patients ranged in age from 26 to 74 (median 48) and were followed for a median period of 39 months. Patients were divided into two group; Group A comprision 32 patients with≤age 40 and Group B comprising 75 patients with ≥age 40. Both Group A and Group B patients were comparable with respect to all coveriables studied. Results : The overall 5-year survival and the disease free 5-year survival for the 107 patients studied were 85.2% and 82.1%, respectively. The overall survival for Group A and Group B was 92% and 83%, respectively(p>0.05). The disease free 5-year survival for Group A and Group B was 82.3% and 82.6%, respectively(p>0.05). There was no difference in both local and distant failure in Group A and Group B. Conclusion : On the basis of the this analysis it is concluded that age alone is a poor indicator of prognosis and should not be used as an indication for adjuvant treatment.