The added safety of radical surgical treatment for carcinoma of the cervix, and the recent proposals urging its more extensive use, have made it necessary that the respective merits of methods of controlling the disease be subjected to analysis. Despite their limitations, both radical surgical treatment and radiation therapy have progressively established their value over the course of the last fortyyears, and sufficient data have accumulated to permit definition of the most promising therapeutic policy by objective consideration of the evidence. In the present report the salient factors bearing on this question will be reviewed.
A satisfactory plan of treatment must be based on knowledge of the pathology of the disease and of its paths of dissemination. A number of studies on autopsy and surgical material have enabled us to specify minimum requirements for a satisfactory plan of treatment (Kundrat, Baisch, Pankow, Martzloff, Pearson, Warren). It has been shown that