Morris Lucinda, Do Viet, Chard Jennifer, Brand Alison H
Crown Princess Mary Cancer Centre Westmead, Radiation Oncology Network, Westmead.
Discipline of Obstetrics, Gynaecology and Neonatology, Westmead Clinical School, University of Sydney, Camperdown.
Int J Womens Health. 2017 May 2;9:273-279. doi: 10.2147/IJWH.S106796. eCollection 2017.
Treatment of gynecological cancer commonly involves pelvic radiation therapy (RT) and/or brachytherapy. A commonly observed side effect of such treatment is radiation-induced vaginal stenosis (VS). This review analyzed the incidence, pathogenesis, clinical manifestation(s) and assessment and grading of radiation-induced VS. In addition, risk factors, prevention and treatment options and follow-up schedules are also discussed. The limited available literature on many of these aspects suggests that additional studies are required to more precisely determine the best management strategy of this prevalent group after RT.
妇科癌症的治疗通常包括盆腔放射治疗(RT)和/或近距离放射治疗。这种治疗常见的副作用是放射性阴道狭窄(VS)。本综述分析了放射性VS的发生率、发病机制、临床表现、评估及分级。此外,还讨论了危险因素、预防和治疗方案以及随访计划。关于这些方面的现有文献有限,这表明需要进一步开展研究,以更精确地确定放疗后这一常见群体的最佳管理策略。