Thar T L, Million R R, Daly J W
Semin Oncol. 1982 Sep;9(3):299-311.
To give the optimal treatment to each individual with cancer of the cervix, there must be very close cooperation and professional rapport between the radiation oncologist and gynecologic oncologist. Patients should be evaluated together with a review of the pertinent pathology and diagnostic roentgenograms in order to determine the optimal, individualized treatment plan for each patient. In the radiotherapeutic management of patients with cervical cancer, meticulous care must be taken in the treatment setups for external radiotherapy and the intracavitary radium applications. External fields should be carefully shaped to minimize the amount of normal tissue treated. Radium applications must be carefully reviewed with attention to and correction of minor deviations in the radium geometry, which could give rise to "hot" or "cold" spots in the radium dosage. With attention paid to the above factors, radiotherapy in the treatment of cervical cancer can be extremely rewarding. The majority of the patients treated will be cured and will be able to return to normal, functional lives. Most of the patients seen with cervical cancer do not have other major medical illnesses that will limit their lifespan, and as a result, 10-, 20-, and 30-yr survivals after treatment are being reported.
为了给每一位宫颈癌患者提供最佳治疗，放射肿瘤学家和妇科肿瘤学家之间必须密切合作并建立专业默契。应共同评估患者，并复查相关病理学和诊断性X线片，以便为每位患者确定最佳的个体化治疗方案。在宫颈癌患者的放射治疗管理中，进行体外放疗和腔内镭疗时必须在治疗设置上格外小心。体外照射野应精心塑形，以尽量减少受照射的正常组织量。镭疗应用必须仔细检查，注意并纠正镭源几何形状的微小偏差，因为这些偏差可能会在镭剂量中产生“热点”或“冷点”。注意上述因素后，宫颈癌放疗会取得极佳效果。大多数接受治疗的患者将被治愈，并能够恢复正常的功能性生活。大多数宫颈癌患者没有其他会限制其寿命的重大疾病，因此，已有治疗后10年、20年和30年生存率的报道。
