直腸癌의 手術後 放射線治療 成績

• 영문명: Result of Post Operative Radiotherapy of Carcinoma of the Rectum
• 발행기관: 대한방사선종양학회
• 저자명: 허승재(S.J.Huh) 하성환(S.W.Ha) 박찬일(C.I.Pack) 최국진(K.J.Choi) 김진복(J.P.Kim)
• 간행물 정보: 『대한방사선종양학회지』제2권 제2호, 229~235쪽, 전체 7쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1984.12.30

영문 초록

Surgery remains the mainstay in the management of carcinoma of the rectum. However, local recurrence and systemic metastasis remain the challenge. It appears that post operative radiotherapy has a very definite role in the reduction of local recurrence. Ninty two patients of carcinoma of the rectum after curative surgery received post operative radiotherapy 5,000 rad/5~6weeks to whole pelvis at the Department of Therapeutic Radiology, Seoul National University Hospital between March 1979 and December 1982. Fifty three percent of patients show modified Astler-Coller stage C₂. Actuarial disease free survival rate of rectal cancer was : stage B1,2 75% stage C1 81% stage C₂ 39%, and stage C₃ 20%. Twelve percent shows local recurrence and distant metastasis occurred in 28%. Prognostic sighificance of nodal metastasis is also analysed. Incidence of small bewel obstruction, requiring surgery, is 8%. occurring between 5th month to 12th month after operation. It is suggested that post operative radiotherapy of the rectal cancer following curative surgery has a signifinat role in the reduction of local recurrence.