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J Korean Soc Ther Radiol > Volume 4(2); 1986 > Article
Journal of the Korean Society for Therapeutic Radiology 1986;4(2): 155-164.
Radiotherapy of Uterine Cervical Cancer Using Fletcher-Suit-Delclos Cesium Applicator
Seung Chang Sohn, Jong Chul Yoon, Hyun Suk Suh
Department of Therapeutic Radiology, Inje Nedical College, Seoul Paik Hospital, Korea.
From Nov. 1983 through Feb. 1986, 35 patients of uterine cervical cancer were treated by external radiation therapy and intracavitary radiation therapy using Fletcher-Sult-Delclos applicator. Age of the patients ranged from 32 to 70 years (median age:53 years). All patients had follow up from 9 to 34 months and median follow up of 20 months. 4 patients were in stage I, 25 were in stage II, 5 were in stage III and I was in stage IV. Overall regression rate was 80% and uncorrected actuarial 2 year survival rate was 88%. The incindence of rectal complications were analyzed. There was no rectal complication in the patients who received less than 7000 rad maximal rectal dose, but 2 out of 17 patients who received more than 7000rad developed moderate degree (grade 2) of rectal complication. In viewing of our results, Fletcher-Suit-Delclos applicator (3M) seemed to be an appropriate instrument for intracavitary radiation therapy in the patients of uterine cervical cancer.
Key Words: Uterine cervical cancer, Fletcher-Suit-Delclos applicator, Rectal complications
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