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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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