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KMID : 0358419610040020055
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Korean Journal of Obstetrics and Gynecology
1961 Volume.4 No. 2 p.55 ~ p.62
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Radiation Therapy for Carcinoma of the Cervix in Korean Women
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盧庚昞/Roh, G.B.
李承浩/安承鳳/Lee, S.H./Ahn, S.B.
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Abstract
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In Korea as in other countries, carcinoma of the cervix is one of the most frequent gynecological problems. Until a few years ago it was treated mostly by surgical measures and partly by radiation therapy which was not too satisfactory due to lack of facilities.
There are few reports on the clinical characteristics and the cure rate of carcinoma i f the cervix in Korean medical literature. In our institution, since 1958 facilities for satisfactory radiation therapy have been available. Consequently we have directed our interest toward radiation therapy in addition to surgical measures in an effort to, treat the disease successfully.
The purpose of this preliminary report is to present 50 cases of carcinima of the cervix in Korean women treated with radiation therapy in an attempt to establish our own survival rate and clinical characteristics of this tumor. Among the various findings through this study the following are thought to be significant.
1) Fifty cases of carcinoma of the cervix treated by radiation therapy are classified as follows according to the international clinical classification. Stage 1 24%, stage II 52%, stage III 20% and stage IV 4%.
2) About 54% of cases are seen at the age between 45 and 55. The youngest case was 26 years and the oldest was 68 years.
3) Doctors are considered to be responsible for about 16% of diagnostic delay in this ´condition.
4) The indicence of vesicovaginal and rectovaginal fistulas up to the present are 5.5% and 8.3% respectively.
5) Primary healing was obtained in 100% in stage I carcinoma of the cervix and in 93% in stage II . The period at which primary healing was considered to have occurred was arbitrarily set at 3 to 6 months after the completion of therapy.
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