자궁경부암에서 대동맥 임파절 전이의 치료

• 영문명: Radiotherapy of Para-Aoric Node Metastases in Carcinoma of the Uterine Cervix
• 발행기관: 대한방사선종양학회
• 저자명: 이종영(Jong Young Lee) 서창옥(Chang Ok Suh) 성진실(Jin Sil Seong) 김귀언(Gwi Eon Kim) 노준규(Juhn-Kyu Loh)
• 간행물 정보: 『대한방사선종양학회지』제7권 제2호, 259~267쪽, 전체 9쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1989.12.30

영문 초록

Forth one patients with para-aortic node metastases from carcinoma of the uterine cervix treated with radiotherapy at December 1987 were retrospectively analyzed. Eleven patients were diagnosed at the time of diagnosis of carcinoma of the cervix (early diagnosis) and 30 patients were diagnosed during follow up period after definitive radiotherapy of primary site (late diagnosis). The most important factors affecting the survival in this study were time of diagnosis and dose of irradiation. Overall 5 year actuarial survival rate of 41 patients was 25.7%. Five year survival rate for early diagnosis was 60.3%, but late diagnosis was 16.9%. And survival rate for high dose (0ver 4000 cGy) radiation group and low dose radiation group were 42.2% and 8.9% respectively. The most leading cause of death was para-aortic node failure, so early diagnosis and maximum palliation with full dose radiotherapy (over 4000 cGy) is necessary to improve the survival and the quality of life.

키워드

Uterine cervical cancer Para-aortic node metastases Radiotherapy Survival