The role of paraaortic node irradiation in the treatment of cancer of the cervix Journal Article
| Authors: | Nori, D.; Valentine, E.; Hilaris, B. S. |
| Article Title: | The role of paraaortic node irradiation in the treatment of cancer of the cervix |
| Abstract: | One hundred and twenty-seven patients with previously untreated carcinoma of the uterine cervix underwent pretreatment laparotomy between 1971 and 1980. Thirty-one were found to have paraaortic metastasis. Twenty-seven patients received paraaortic node external supervoltage radiation to the entire paraaortic chain, 4400 cGy, over 4 1 2 weeks, with 600-800 cGy, boost over 1 week, limited to the area of metastasis as marked at laparotomy. Twenty-nine percent ( 8 27) of the patients with paraaortic node metastases who were irradiated have survived 5 years or more. These patients have FIGO stages IB IIA, or IIB; all have epidermoid carcinoma. Three of five patients (60%) with microscopic metastasis and five of twenty-two patients (23%) with gross metastasis in the paraaortic lymph nodes are long-term survivors. None of our long-term survivors have suffered late complications. There have been no fatalities from treatment related complications. We present a radiation technique for paraaortic radiation in these patients, and discuss the indications for paraaortic node radiation in cancer of the cervix. © 1985. |
| Keywords: | major clinical study; carcinoma, squamous cell; lymph node metastasis; paraaortic lymph node; lymph nodes; lymphatic metastasis; radiotherapy; lymphatic system; diagnosis; therapy; uterine cervix carcinoma; female genital system; aorta; cervix neoplasms; prognosis; human; female; priority journal; carcinoma of the cervix; paraaortic nodal irradiation; pretreatment laparotomy |
| Journal Title: | International Journal of Radiation Oncology, Biology, Physics |
| Volume: | 11 |
| Issue: | 8 |
| ISSN: | 0360-3016 |
| Publisher: | Elsevier Inc. |
| Date Published: | 1985-08-01 |
| Start Page: | 1469 |
| End Page: | 1473 |
| Language: | English |
| DOI: | 10.1016/0360-3016(85)90334-7 |
| PUBMED: | 4019270 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Article -- Export Date: 26 October 2021 -- Source: Scopus |
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