Morita S, Nakano T, Arai T
Division of Hospital, National Institute of Radiological Sciences NIRS.
Gan No Rinsho. 1990 Aug;36(10):1155-60.
A retrospective analysis of 146 patients with carcinoma of the endometrium was carried out. Several kinds of intracavitary irradiation methods has been changed during the past 28 years, the most favorable results was obtained by means of RALS packing method. Five year survival was 100% in stage I, 27.3% in stage II, 18.2% in stage III and 21.5% in total patients treated with radiation therapy alone (33 patients) as compared to those patients who received postoperative irradiation (109 patients) where the survival was 91.4% in stage I, 76.6% in stage II, 71.5% in stage III and 79.8% in total, respectively. Complications of treatment were seen in 9% and 4.5% with radiation alone and postoperative therapy. From these results, an adequate dose distribution by intracavitary irradiation was emphasized for the improvement of local tumor control.
对146例子宫内膜癌患者进行了回顾性分析。在过去28年中,几种腔内照射方法发生了变化,通过镭容器填塞法获得了最理想的结果。单独接受放射治疗的33例患者中,I期五年生存率为100%,II期为27.3%,III期为18.2%,总体为21.5%;相比之下,接受术后照射的109例患者中,I期生存率为91.4%,II期为76.6%,III期为71.5%,总体为79.8%。单纯放疗和术后治疗的治疗并发症发生率分别为9%和4.5%。从这些结果来看,强调通过腔内照射实现足够的剂量分布以改善局部肿瘤控制。