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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1992-4-23
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pubmed:abstractText |
We retrospectively analyzed 216 previously untreated patients with cervical cancer treated by high dose-rate intracavitary irradiation between 1978 and 1986. Cumulative 5-year survivals in stage Ib, IIa, IIb, IIIa, IIIb and IVa were 72.3%, 88.9%, 68.9%, 75.0%, 64.0% and 16.7%, respectively. Cause-specific 5-year survivals in stage Ib, IIa, IIb, IIIa, IIIb and IVa were 93.3%, 88.9%, 74.7%, 75.0%, 68.9%, and 18.8%, respectively. Recurrences outside the pelvis in stage IIb and IIIb (14.9% and 24.0%) were more common than loco-regional recurrences (10.3% and 12.0%). However, loco-regional recurrences (50%) were most frequent in stage IVa. Thirteen patients (6.0%) required surgical management for intestinal complications (severe). Six patients (2.7%) died due to intestinal complications (fatal). These fatal and severe complications were closely correlated with the dose of external radiation. These data suggest that intracavitary irradiation using a high dose-rate system is useful for the treatment of uterine cancer; however, further efforts to reduce intestinal complications by lowering the dose of external radiation will be necessary. It is also suggested that a combined modality, such as chemotherapy, is necessary for controlling metastases outside the pelvis in stage IIb and IIIb, and for local control in stage IVa.
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pubmed:language |
jpn
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0048-0428
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
25
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pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
62-9
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pubmed:dateRevised |
2011-7-26
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pubmed:meshHeading |
pubmed-meshheading:1549449-Adult,
pubmed-meshheading:1549449-Aged,
pubmed-meshheading:1549449-Aged, 80 and over,
pubmed-meshheading:1549449-Brachytherapy,
pubmed-meshheading:1549449-Carcinoma, Squamous Cell,
pubmed-meshheading:1549449-Female,
pubmed-meshheading:1549449-Humans,
pubmed-meshheading:1549449-Middle Aged,
pubmed-meshheading:1549449-Retrospective Studies,
pubmed-meshheading:1549449-Survival Rate,
pubmed-meshheading:1549449-Uterine Cervical Neoplasms
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pubmed:year |
1992
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pubmed:articleTitle |
[Results of radiation therapy for squamous cell carcinoma of the uterine cervix using high dose-rate intracavitary irradiation].
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pubmed:affiliation |
Department of Radiology, Ehime University School of Medicine.
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pubmed:publicationType |
Journal Article,
English Abstract
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