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KMID : 0362919850030020103
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Journal of the Korean Society for Therapeutic Radiology and Oncology
1985 Volume.3 No. 2 p.103 ~ p.111
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Treatment Result of Postoperative Radiotherapy of Carcinoma of the Uterine Cervix
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Park Charn-Il
Kim Jung-Soo
Kim Il-Han
Ha Sung-Whan
Lee Hyo-Pyo
Shin Myon-Woo
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Abstract
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The early carcinoma of the uterine cervix may be treated by either radical surgery or radical radiotherapy according to the patient´s characteristics, and the survival is high with either treatment. But, because of the size of the lesion, metastasis to lymph nodes, and vascular space invasion by tumor have all been shown to influence recurrence and survival, postoperative radiotherapy may be considered as their histopathologic finding after radical surgery. However, there are still debates on the increasing survival rates with postoperative radiotherapy.
Two hundreds and three patients with carcinoma of the uterine cervix who were treated with postoperative radiotherapy from February 1979 to September 1982 in the Department of Therapeutic Radiology, Seoul National University were analyzed and following results were obtained. 3-year actuarial survival rate and 3-year disease free survival rate were 83.4% and 73.4% respectively and 3-year actuarial survival rates by stages were 90.7% for ⅠB, 69.6% for ⅡA, and 85.2% for Ⅱb. 3-year actuarial free survival rates by stage ⅠB, ⅡA, ⅡB were 79.8%, 67.8%, 68.3% respectively.
The overall failure rate was 25.1%(51/203); local recurrence rate was 8.4%, distant metastasis rate was 14.3% and simultaneous local recurrence and distant metastasis was 2.4%. Failure rates by stages were 19.8%(18/19) for ⅠB, 29.1%(16/55) for ⅡA and 29.8%(17/57) for ⅡB.
The overall acute complication rate was 57.6%; tolerable cases was 50.2% and severe cases was 7.4%, Late complication rate was 7.9% and the major late complication were intestinal obstruction, aggravated urinary symptom, radiation cystitis in order of frequency.
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KEYWORD
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Carcinoma of the uterine cervix, Postoperative radiotherapy, Actuaral survival, Failure rate, Complication
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