Fig. 8.2. Position of points a and b in small pelvis.

Stage of in situ (T_isN₀M₀) — surgical medical treatment: ekstirpatsiya uteruses with the segment of vagina of s/bez appendages depending on age; to the patients which have contra-indications to surgical medical treatment from ekstragenitalnoy pathology and yellow sear leaf, 5 Gr conduct the intracavitary gamma-therapy (ICGT), TBD 50 Gy 2 – 3 sessions in a week by the hose gamma-terapevticheskogo vehicle “Agat-V” (a radio-active package to the hearth of defeat is tricked into automatically without direct participation of personnel of separation of radio therapy).

Stage I (T₁N₀M₀) — the combined medical treatment: extripation uteruses, post-operation the DGT shallow fractionating to TBD 40 – 45 Gy in a point B.

Stage II (T₂N₀M₀) —combine radio therapy: RGT in a point A 20 – 25 Gy, in a point B 40 – 42 Gy by the shallow fractionating, ICGT in a point A 50 Gy (5 Gy, 2 – 3 times per a week), in a point B 12,5 Gy. TBD from both methods in a point A 75 Gy, in a point B 54,5 Gy; polychemicaltherapy is possible on occasion.

Stage III (T_1-3N₁M₀) —combine radio therapy by the split course: DGT in two stages (a 1 stage of SD in points A and B to 30 Gy, a 2 stage in 2 weeks of SD in a point A 5 Gy, in a point B 16 Gy), VPGT SD in a point A 50 Gy, in a point B 12,5 Gy — SD from both methods in a point A 85 Gy, in a point B 58,5 Gy; polychemicaltherapy is possible on occasion.

Stage IV (T_0-4N₁M₁) — palliative DGT, palliative polychemicaltherapy.

The five-year survival after radio therapy of cancer of cervix uteri makes: at the first stage to 90%, at the second stage – 60,2%, at to 3-her the stages – 35,6%. On the average for all stages of cancer of cervix uteri the five-year survival makes 58,5% cases.