Tobilevich V P, Simbirtseva L P, Sedova T I
Vopr Onkol. 1976;22(10):32-7.
An analysis of the results of treatment in 231 patients with recurrences of cervical cancer is presented in relation to 5-year survival criterion ("dynamic analysis"). An actual 5-year survival rate was 16.0%. The most important factors determining the prognosis include the stage of the primary process, localization of the secondary tumor, terms of the recurrence and the absorbed dose of radiation given to the recurrence. Standardized rates showed a 3-5 fold improvement of the results of treatment in the presence of favourable prognostic factors. In combinations of favourable prognostic factors the 5-year survival rate of patients with recurrent cervical cancer reached 67.0%. The amount of the absorbed local dosage of radiation is of practical value for improvement of the results of treatment. Radiotherapy is the method of choice in treatment of patients with local recurrences of uterine cervix cancer.
本文针对231例宫颈癌复发患者的治疗结果,依据5年生存率标准进行了分析(“动态分析”)。实际5年生存率为16.0%。决定预后的最重要因素包括原发病程分期、继发肿瘤的位置、复发时间以及复发部位所接受的放射剂量。标准化率显示,在存在有利预后因素的情况下,治疗效果提高了3至5倍。在有利预后因素的组合中,复发性宫颈癌患者的5年生存率达到了67.0%。局部吸收的放射剂量对改善治疗效果具有实际价值。放射治疗是治疗子宫颈癌局部复发患者的首选方法。