Results of high dose rate brachytherapy, anterior pelvic exenteration and external beam radiotherapy for carcinoma of the female urethra Journal Article


Authors: Dalbagni, G.; Donat, S. M.; Eschwege, P.; Herr, H. W.; Zelefsky, M. J.
Article Title: Results of high dose rate brachytherapy, anterior pelvic exenteration and external beam radiotherapy for carcinoma of the female urethra
Abstract: Purpose: We evaluated a multimodality approach to locally advanced urethral carcinoma in women. Materials and Methods: Between August 1996 and July 1999, 6 women were treated for locally advanced carcinoma of the urethra with anterior pelvic exenteration followed by high dose 192iridium intraoperative radiation therapy. Four of the 6 patients were also treated with neoadjuvant or concomitant platinum based chemotherapy. Results: Two patients had no evidence of disease, 3 had distant metastasis and 2 had local recurrence at a mean followup of 21 months (range 12 to 47). Radiation was relatively well tolerated with no major adverse events. Conclusions: High dose intraoperative brachytherapy followed by external beam radiation is relatively well tolerated. Local control seems to have improved. We must evaluate a larger cohort of patients to determine this impact of the combined modality on local control and patient survival.
Keywords: adult; cancer chemotherapy; cancer survival; clinical article; aged; aged, 80 and over; middle aged; survival analysis; cancer recurrence; multimodality cancer therapy; cancer radiotherapy; radiation dose; combined modality therapy; follow up; neoplasm recurrence, local; radiotherapy; pelvis exenteration; carcinoma; brachytherapy; platinum; cancer control; carcinoma, transitional cell; iridium 192; urethra; urethra carcinoma; urethral neoplasms; pelvic exenteration; beam therapy; humans; human; female; priority journal; article
Journal Title: Journal of Urology
Volume: 166
Issue: 5
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2001-11-01
Start Page: 1759
End Page: 1761
Language: English
PUBMED: 11586218
PROVIDER: scopus
DOI: 10.1016/S0022-5347(05)65669-8
DOI/URL:
Notes: Export Date: 30 June 2015 -- Source: Scopus
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MSK Authors
  1. Michael J Zelefsky
    754 Zelefsky
  2. Guido Dalbagni
    325 Dalbagni
  3. Sherri M Donat
    174 Donat
  4. Harry W Herr
    594 Herr