Carcinoma of the CervixA Third Treatment
作者:
MARTIN QUIGLEY,
DOUGLAS KNAB,
EDMUND MCMAHON,
期刊:
Obstetrics & Gynecology
(OVID Available online 1975)
卷期:
Volume 45,
issue 6
页码: 650-655
ISSN:0029-7844
年代: 1975
出版商: OVID
数据来源: OVID
摘要:
&NA;A selected group of 136 patients with Stage I squamous cell carcinoma of the cervix was treated in six naval hospitals during the period 1957‐1965 using a three‐stage combined radiation therapy and surgery protocol. Treatment consisted of two radium applications to the cervix, followed in 6 weeks by extraperitoneal lymphadenectomy. If the lymph nodes were tumor‐negative, simple hysterectomy in 3 to 6 months completed the protocol. If the nodes were tumor‐positive, a course of external pelvic irradiation was given with midline shielding. The incidence of positive nodes was 9.6%. Actuarial survival for all patients was 89.4%, comparable to the rate obtained by radical surgery or radiation alone. Postoperative and postradiation complications were minimal, with no urinary or bowel fistulas. There was no operative mortality.
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