Vaginal Vault Dehiscence and Increased Use of Vaginal Vault Brachytherapy What are the Implications?

被引:7
作者
Wiebe, Ericka [1 ]
Covens, Allan [2 ]
Thomas, Gillian [1 ]
机构
[1] Sunnybrook Hlth Sci Ctr, Odette Canc Ctr, Dept Radiat Oncol, Toronto, ON M4N 3M5, Canada
[2] Sunnybrook Hlth Sci Ctr, Odette Canc Ctr, Dept Obstet & Gynecol, Toronto, ON M4N 3M5, Canada
关键词
Uterine carcinoma; Vaginal complications; Brachytherapy; QUALITY-OF-LIFE; ENDOMETRIAL CANCER; CUFF DEHISCENCE; RADIATION-THERAPY; LAPAROSCOPIC HYSTERECTOMY; GYNECOLOGIC-ONCOLOGISTS; PELVIC RADIOTHERAPY; DIFFERENT MODES; SURGERY; EVISCERATION;
D O I
10.1097/IGC.0b013e31826fd490
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Literature reports describe the potential for increased incidence of vaginal vault dehiscence after minimally invasive surgery, and incidental reports of vaginal vault dehiscence with vaginal vault brachytherapy. This review explores the risk of increased vaginal complications in a setting of greater use of both minimally invasive surgical techniques and adjuvant vaginal vault brachytherapy in early endometrial cancer. The impact of associated patient-related and tumor-related risk factors on clinical decision making is evaluated in selecting therapy that provides optimal tumor control while minimizing treatment adverse effects.
引用
收藏
页码:1611 / 1616
页数:6
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