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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. |
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| ABSTRACT |
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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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