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[子宫癌的治疗。汉诺威医学院的治愈结果报告]

[The treatment of uterine carcinomas. A report on the cure results at the Hannover Medical College].

作者信息

Feldmann H J, Gefeller D, Majewski A

机构信息

Klinik für Strahlentherapie und spezielle Onkologie sowie Frauenklinik, Medizinische Hochschule Hannover.

出版信息

Strahlenther Onkol. 1991 Aug;167(8):452-60.

PMID:1887361
Abstract

From 1971 to 1980, 639 patients with carcinoma of the cervix and 271 patients with endometrial cancer were treated in the Division of Radiation Therapy of the Medical School Hannover. In 606 patients radical radiation therapy was followed by routine surgery, 304 patients have been irradiated primarily due to the local spread of the tumor. The radiation therapy consisted of a combination of external beam and intracavitary therapy. In patients with carcinoma of the cervix the five-year survival was 92% for stage Ia, 78% for stage Ib, 67% for stage IIa, 47% for stage IIb, 20% for stage III and 7% for stage IV. In patients with endometrial cancer the five-year survival was 91% for stage I, 71% for stage II, 60% for stage III and 0% for stage IV. Severe complications, i.e., ureteral stricture or fistula occurred in 1% to 1.5% of the patients with cervix cancer and in 0.5% to 1% of the patients with endometrial cancer.

摘要

1971年至1980年期间,汉诺威医学院放射治疗科治疗了639例宫颈癌患者和271例子宫内膜癌患者。606例患者接受根治性放射治疗后进行了常规手术,304例患者因肿瘤局部扩散而主要接受了放射治疗。放射治疗包括外照射和腔内治疗相结合。宫颈癌患者中,Ia期五年生存率为92%,Ib期为78%,IIa期为67%,IIb期为47%,III期为20%,IV期为7%。子宫内膜癌患者中,I期五年生存率为91%,II期为71%,III期为60%,IV期为0%。严重并发症,即输尿管狭窄或瘘管,在1%至1.5%的宫颈癌患者以及0.5%至1%的子宫内膜癌患者中出现。

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