子宮頸侵犯癌手術：該多需多，能少要少

Surgery for invasive cervical cancer：more if necessary, less if possible

子宮頸侵犯癌，1B-2B，子宮根除手術的建議切除範圍。在回顧分析3,180手術病例後，我們發現：1B-2A的病灶，可用現行通用的子宮根除手術；2B的病灶，應做擴大切除範圍的子宮根除手術。

From our Department and Institute, based on an analyzed data on 3180 patients with stage 1B-2B cervical cancer treated from 1963 to 1998, 804 patients were treated with standard radical hysterectomy and 2016 patients underwent extended radical hysterectomy. All patients were followed up for more than 3 years. The recurrence rate, compared with the types of surgery offered, makes no difference in patients with 1B-2A but different in patients with 2B. The data suggest that the extent of excision in radical hysterectomy depended on clinical staging is more if necessary, and less if possible. In other words, patients with stage 1B-2A can be treated by standard radical hysterectomy but patients with stage 2B can be better done by extended radical hysterectomy.