Kucera H, Michalica W, Weghaupt K
Osterr Z Onkol. 1977;4(1):3-7.
The usual method of irradiation in the therapy of the carcinoma corporis uteri is described. It is stressed, that none but inoperable carcinomas were irradiated: this means, of course, a negative selection in disfavor of the radiotherapy. A report is given of 802 cases of carcinoma of the corpus uteri, treated by primary radiotherapy in the 1st University Clinic of Obstetrics and Gynecology in Vienna in the years 1950-1970. The 5-years-survival rate in this period was 50.4%. In the last half decade of this period the 5-years-survival rate of 300 patients went down to 48.6%. The reduction of this survival rate may be caused by the increasing age of the patients, who underwent therapy and is corresponding to world-wide experiences. Additive therapies like the "second-look abrasio" for early diagnosis of a local recidivation and the gestagen therapy for the prevention of metastatic carcinoma of the corpus uteri are discussed.
本文描述了子宫体癌治疗中常用的放射疗法。文中强调，仅对无法手术的癌症进行放射治疗：当然，这意味着对放射治疗不利的负面选择。报告了1950年至1970年间在维也纳第一大学妇产科诊所接受初次放射治疗的802例子宫体癌病例。在此期间，5年生存率为50.4%。在此期间的最后五年，300例患者的5年生存率降至48.6%。生存率的降低可能是由于接受治疗的患者年龄增加，这与全球经验相符。文中还讨论了诸如用于局部复发早期诊断的“二次探查刮宫术”以及用于预防子宫体癌转移癌的孕激素疗法等辅助疗法。
