Outcome of Cervical Cancer in Iranian Patients According to Tumor Histology, Stage of Disease and Therapy


Background: Cancer of cervix, the second most common cancer of women overall, is a leading cause ofcancer death in developing countries. The purpose of this study was to measure outcome of treated cervicalcancer cases in Yazd since 2002 to 2009, according to pathology, stage of disease, lymph node involvement andtherapy. Materials and
Methods: 100 cases were enrolled and survival was determined through phone calls togenerate 3 and 5- year-survival rates, evaluated by long-rank test with SPSS software.
Results: Mean age of thepatients was 53.6 years, and 3 -year survival was 75.9 %( mean of 59.4 months). In first months, survival wasthe same in both pathology types, but because of the higher stages of squamous cell carcinomas in comparisonwith adenocarcinomas, their overall rate was lower. Stage IIB and IIIB survival rates were 90.9% and 30.8%,respectively, and rates with and without lymph node involvement were 64.8% and 80.1%. With para-aorticlymph node involvement, the rate was 85.8% (mean of 65.3 months). In patients who underwent surgery andchemoradiation, the respective figures were 71.6% and 54.9%. Anemic and non-anemic rates were 50% and78%.
Conclusion: 3-5 year survival of cervical cancer fluctuates in the range of 70 to 93%. The relationship withlymph node involvement is weak. Survival of women receiving chemotherapy was lower than after surgery. Ourfindings showed an importance of diagnosis in primary stages and surgical resection of pelvic and para-aorticlymph nodes.