TUMOR AND TREATMENT FACTORS IMPROVING OUTCOME IN STAGE-III-B CERVIX CANCER

被引:119
作者
LANCIANO, RM [1 ]
MARTZ, K [1 ]
COIA, LR [1 ]
HANKS, GE [1 ]
机构
[1] AMER COLL RADIOL, PHILADELPHIA, PA USA
来源
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS | 1991年 / 20卷 / 01期
关键词
CERVIX CANCER; DEFINITIVE RADIOTHERAPY; STAGE-III-B;
D O I
10.1016/0360-3016(91)90143-R
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
This report reviews 271 patients with Stage III-B squamous cell cancer of the uterine cervix from three national surveys conducted by the Patterns of Care Study. A progressive increase in local control and survival is seen among the three surveys which parallels a progressive increase in paracentral (point A) dose and use of intracavitary treatment. Multivariate analysis reveals extent of pelvic disease (unilateral sidewall vs. bilateral sidewall vs. lower 1/3 vagina) and use of intracavitary treatment to be the only significant tumor and treatment factors associated with local control and survival. With aggresive radiotherapy, local control rates exceeding 65% and survival of 50% at 4 years can be anticipated at the expense of a small increase in complications.
引用
收藏
页码:95 / 100
页数:6
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