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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1978-1-27
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pubmed:abstractText |
Primary vaginal cancer are infrequent and amount to 2 or 3 per cent of the gynecological cancers. Their diagnosis is difficult, because many other cancers metastasize in the vagina. The primary vaginal cancer arise mostly after climateric. Adjuvant causes would be a total hysterectomy in the past, prolapsus, prolonged use a pessary or a previous irradiation. The squamous-cell carcinomas, by far the most frequent (91%), are mostly situated in the upper third of the vagina on the anterior and posterior walls. Surgery, being difficult and mutilating is rarely indicated. So the treatment is mainly radiotherapic: external irradiation and intracavitary curietherapy. The radiation techniques are a little different according to the site of the lesion in the lower third or not. The upper lesion can be treated like a cervix cancer. The lower ones are more difficult to handle; for curietherapy, one must use molded apparatus, loaded with Iridium wire, adapted to each special case. The therapeutic results are rather poor:43 per cent for the 5-year cure rate and 36 per cent for the 10-year cure rate: less than for the cervix uteri. The upper lesions have a better prognosis than the lower ones. Results should be improved with an earlier diagnosis, a more accurate radiotherapy and a more precise dosimetry. The non-squamous-cell cancers (adenocarcinomas, sarcomas, mallignant melanomas) are generally rather radio-resistant. They are rare and their prognosis is very poor.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0007-4551
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
64
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pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
429-42
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:922178-Adult,
pubmed-meshheading:922178-Aged,
pubmed-meshheading:922178-Carcinoma, Squamous Cell,
pubmed-meshheading:922178-Female,
pubmed-meshheading:922178-Humans,
pubmed-meshheading:922178-Melanoma,
pubmed-meshheading:922178-Middle Aged,
pubmed-meshheading:922178-Prognosis,
pubmed-meshheading:922178-Radium,
pubmed-meshheading:922178-Sarcoma,
pubmed-meshheading:922178-Vaginal Neoplasms
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pubmed:year |
1977
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pubmed:articleTitle |
[Primary vaginal cancer in adults. Apropos of 72 cases treated at the Fondation Curie from 1956 to 1968].
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pubmed:publicationType |
Journal Article,
English Abstract
|