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Evaluation of split-course irradiation for pelvic malignancies

Journal Article · · Int. J. Radiat. Oncol., Biol. Phys.; (United States)
Therapeutic results of split-course vs continuous-course whole pelvis irradiation were analyzed in 235 consecutive patients with carcinoma of the uterine cervix, prostate, or urinary bladder. Eighty-six patients with carcinoma of the cervix were assigned randomly to receive either split or continuous treatment; 65 patients with prostate cancer and 84 patients with bladder cancer were not randomized. Except for a planned 14 to 16 day interruption after 2800 to 3000 rad in the split-course group, the techniques of irradiation did not differ. For each tumor site, local control for the 2 techniques was similar when total doses were the same. No significant differences in survival were noted. Paradoxically, in both the randomized and non-randomized groups, the occurrence of radiation-induced chronic gastrointestinal injury was more frequent in patients who were treated by the split-course technique.
Research Organization:
Univ. of Florida, Gainesville
OSTI ID:
5072206
Journal Information:
Int. J. Radiat. Oncol., Biol. Phys.; (United States), Journal Name: Int. J. Radiat. Oncol., Biol. Phys.; (United States) Vol. 6:2; ISSN IOBPD
Country of Publication:
United States
Language:
English

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