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J Korean Soc Ther Radiol > Volume 5(2); 1987 > Article
Journal of the Korean Society for Therapeutic Radiology 1987;5(2): 131-136.
Radiotherapy of Recurrent Uterine Cervical Cancer
Sung Whan Ha, Charn Il Park, Kyu Young Choi, Soon Beom Kang, Hyo Pyo Lee, Myon Woo Shin
1Department of Therapeutic Radiology, College of Medicine, Seoul National University, Seoul, Korea.
2Department of Obstetrics and Gynecology, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
Forty seven patients with locally recurrent uterine cerival cancer after surgery were treated with radiation during the 6 year period from 1979 through 1984 at the Department of Therapeutic Radiology of Seoul National University Hospital. In 30 out of the 47 patients, recurrence was diagnosed within 2 years after surgery. Site of recurrence was vagina in 19 patients, vagina and parametrium in 21 patients and parametrium only in 7 patients. Complete tumor control was achieved in 35 patients (74.5%) ; the complete response rates were 94.7% (18/19( in vaginal recurrences, 57.1% (12/21) in combined vaginal and parametrial recurrences and 71.4% (5/7) in parametrial recurrences. Overall and disease free survival rates at 4 years were 55.2 and 50.1 percent, respectively, for entire group. Overall 4 year survival rates were 77.0% for vaginal recurrences, 44.1% for vaginal and parametrial recurrences and 42.9% for parametrial recurrences. When the disease extent was classified in the same way as the staging system of FIGO, the 4 year survival was 80.4, 73.0, 25.0 and 0 percent for stage lla, llb and IVa, respectively.
Key Words: Locally recurrent uterine cervical cancer, Radiotherapy, Survival
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