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자궁경부암의 방사선치료성적
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  • 자궁경부암의 방사선치료성적
  • Radiotherapy Result of the Carcinoma of Uterine Cervix
저자명
박찬일,하성환,강순범,이효표,신면우,Park. Charn-Il,Ha. Sung-Whan,Kang. Soon-Beom,Lee. Hyo-Pyo,Shin. Myon-Woo
간행물명
대한치료방사선과학회지
권/호정보
1984년|2권 1호|pp.107-113 (7 pages)
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대한방사선종양학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

One hundred sixty one patients with the carcinoma of uterine cervix received curative radiotherapy at the Department of Therapeutic Radiology, Seoul National University Hospital between December, 1979 and December, 1982. According to FIGO classification; stage $I_a 1(0.6\%);1_b;8(5.0\%),;II_a;31(19.3\%),;II_b;66(41.0\%),;III_a;3(1.8;%),;III_b;46(28.6\%);and;IV_a;6(3.7;%)$. The proportion of early stage cancer is too small because most of them treated by surgery. External beam whole pelvic irradiation was done first with 10MV x-ray or Co-60 gamma ray upto 4,000 or 5,000 rad for early and advanced cases, followed by one or two courses of intracavitary radiation using Fletcher-Suit Applicator loading c Cs-137. Supplementary external radiation to pelvic side wall to bring dose to 6,000 or 6,500 rads, if there is parametrial involvement or positive pelvic lymph node. Of the 161 Patients, 49 Patients were lost to follow-up but only 22 patients were lost in disease free state. And so, 86.3 percent of the patients were followed to time of recurrence or to date. The results are as follows ; 1. Locoregional control rates according to stage is: stage I $100\%,;II_a;90.3;%,;II_b;75.8\%,;III_a;66.7\%,;III_b;58.7\%;and;IV_a;16.7\%$, respectively. 2. Persistent or recurrent disease were localized in pelvic cavity in 32 of 50 patients and 6 had distant metastasis only. 3. Rectal bleeding was the most common complication and appeared mostly between 6 and 24 months after radiotherapy. Most of them had transient minor bleeding and only 2 patients needed transfusion and 1 patient needed colostomy due to rectovaginal fistula. 4. The 3 year disease free survival rate is: stage I $100\%,;II_a;78.0\%,;II_b;60.6\%,;III_a;66.7;III_b;46.3\%;and;IN_a;16.7\%$, respectively.