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COMPLICATIONS IN HIGH DOSE WHOLE PELVIS IRRADIATION IN FEMALE PELVIC CANCER

Journal Article · · Am. J. Roentgenol., Radium Therapy Nuclear Med.
Various types and degrees of severity of complications in the bladder, bowels, bones, and ureters were correlated with conventional techniques of radium and external irradiation in the early cases of squamous cell carcinoma of the uterine cervix and two major steps of whole pelvis high dose irradiation with 4000 and 6000 rads or more in the advanced cases. Concomitant with the experimental radiotherapeutic program, lymphadenectomy was carried out systematically and an attempt was made to eradicate residual or recurrent disease by radical surgery. If 4000 rads are delivered to the whole pelvis, followed with approxinmately 5500 to 6500 mgh of radium, there is a low in cidence of any type of complication and radical surgical procedures can be performed safely. Six thousand rads whole pelvis irradiation and, occasionally, for the very advanced cases, 7000 or 8000 rads can also be used, but surgical procedures can be contemplated only if there is evident residual or recurrent cancer. Additional elective procedures are not justified as the iddcidence of severe complications amounts to approxinmately 20% in patients submitted to radical irradiation and radical surgery. There were no skin complications of even minor degree. (auth)
Research Organization:
Univ. of Texas, Anderson Hospital and Tumor Inst., Houston
Sponsoring Organization:
USDOE
NSA Number:
NSA-16-008491
OSTI ID:
4810641
Journal Information:
Am. J. Roentgenol., Radium Therapy Nuclear Med., Journal Name: Am. J. Roentgenol., Radium Therapy Nuclear Med. Vol. Vol: 87
Country of Publication:
Country unknown/Code not available
Language:
English

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