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KMID : 0362919900080010095
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Journal of the Korean Society for Therapeutic Radiology and Oncology
1990 Volume.8 No. 1 p.95 ~ p.102
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The Role of Radiation Therapy in Adenocarcinoma of Endometrium
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Yun Hyong-Geun
Ha Sung-Whan
Kang Soon-Beom
Lee Hyo-Pyo
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Abstract
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From May, 1979 to October, 1987, 38 patients with endometrial carcinoma were treated with radiotherapy at Seoul National University Hospital. Of these, 32 patients received radiotherapy postoperatively, one received radiotherapy preoperatively, and five received radiotherapy only. Relative frequencies of obesity, nulliparity, late menopause, diabetes mellitus and hypertension were all higher than those reported in normal women in Korea, and those of obesity, diabetes mellitus, and nulliparity were significantly high. The overall actuarial five-year survival rate was 75.6%. The overall actuarial five year survival rates of stage Ⅰ(22 cases), stage Ⅱ(six cases), and stage Ⅲ(10 cases) were 90.0%, 80.0%, and 44.4%, respectively, and were significantly different from each other. Among various factors, stage only proved to be prognostic by multivariate analysis. There were two local failures, three local failures combined with distant metastasis, and three distant metastasis. Stages Ⅰand Ⅱ could be adequately controlled by local modalities without severe complications, stage Ⅲ endometrial carcinoma might need more aggressive treatment for better survival.
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KEYWORD
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Radiation therapy, Adenocarcinoma of endometrium
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