High dose irradiation to biopsy confirmed aortic node metastases from carcinoma of the uterine cervix
✍ Scribed by M. Steven Piver; Joseph J. Barlow
- Publisher
- John Wiley and Sons
- Year
- 1977
- Tongue
- English
- Weight
- 357 KB
- Volume
- 39
- Category
- Article
- ISSN
- 0008-543X
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✦ Synopsis
Twenty-one women with biopsy proven aortic node metastases from previously untreated carcinoma of the uterine cervix were treated with high dose irradiation to the pelvis and para-aortic areas. The majority received 6000 rads to the pelvis and para-aortic nodes by split course therapy plus 2500 rads by intracavitary radium to point A; 57.1% sustained severe complications to the stomach, small intestine or colon. Only 14.2% are surviving over 2 years free of recurrence. Though approximately 40% of women with Stages III and IV cervical cancer will have metastases to the para-aortic nodes, to date there is no satisfactory therapy that results in a significant number of such women surviving free of recurrent cervical cancer.