Elective ilioingunial lymph node irradiation
Most radiologists accept that modest doses of irradiation (4500-5000 rad/4 1/2-5 weeks) can control subclinical regional lymph node metastases from squamous cell carcinomas of the head and neck and adenocarcinomas of the breast. There have been few reports concerning elective irradiation of the ilioinguinal region. Between October 1964 and March 1980, 91 patients whose primary cancers placed the ilioinguinal lymph nodes at risk received elective irradiation at the University of Florida. Included are patients with cancers of the vulva, penis, urethra, anus and lower anal canal, and cervix or vaginal cancers that involved the distal one-third of the vagina. In 81 patients, both inguinal areas were clinically negative; in 10 patients, one inguinal area was positive and the other negative by clinical examination. The single significant complication was a bilateral femoral neck fracture. The inguinal areas of four patients developed mild to moderate fibrosis. One patient with moderate fibrosis had bilateral mild leg edema that was questionably related to irradiation. Complications were dose-related. The advantages and dis-advantages of elective ilioinguinal node irradiation versus elective inguinal lymph node dissection or no elective treatment are discussed.
- Research Organization:
- Univ. of Florida, Gainesville
- OSTI ID:
- 6476657
- Journal Information:
- Int. J. Radiat. Oncol., Biol. Phys.; (United States), Vol. 10:6
- Country of Publication:
- United States
- Language:
- English
Similar Records
Cranial location of level II lymph nodes in laryngeal cancer: Implications for elective nodal target volume delineation
Twenty-Five-Year Experience With Radical Chemoradiation for Anal Cancer
Related Subjects
62 RADIOLOGY AND NUCLEAR MEDICINE
BONE FRACTURES
RADIOINDUCTION
EDEMA
FEMALE GENITALS
BIOLOGICAL RADIATION EFFECTS
FIBROSIS
LYMPH NODES
MALE GENITALS
RADIOTHERAPY
SIDE EFFECTS
PATIENTS
PELVIS
BIOLOGICAL EFFECTS
BODY
BODY AREAS
INJURIES
LYMPHATIC SYSTEM
MEDICINE
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
RADIATION EFFECTS
RADIOLOGY
SYMPTOMS
THERAPY
560151* - Radiation Effects on Animals- Man
550603 - Medicine- External Radiation in Therapy- (1980-)