Radiation therapy of cervical cancer with dosimetric prevention of late pelvic complications. 1996

H Pourquier, and J B Dubois, and R Delard
Val d'Aurelle, Parc Euromédecine, Montpellier, France.

Two successive series of invasive carcinoma of the cervix (268 and 307 patients) were treated by radiation alone between 1973 and 1977 and 1978 and 1985. The main difference between these periods was the method used to determine the definitive dose delivered by intracavitary therapy. The treatment in all cases consisted of external and intracavitary radiotherapy. Computerized dosimetry was performed in all patients with determination of dose rate, maximum and mean cumulated doses at the reference points of the rectum and bladder. The tolerance doses to the rectum and bladder previously established and represented graphically were used prospectively for the patients from 1978 to 1985, permitting better coordination of the two treatments. The graph takes into account the fractionated tolerance to external irradiation and intracavitary radiotherapy. The systematic use of this method yielded results at six years for all stages which were comparable from one series to another. Parallel to this, the improvement in the number and gravity of the complications was significant, especially for grade 2 complications (P = 0.001) and, to a lesser degree, for grade 3 and 4 complications (P = 0.04). In conclusion, the respect of tolerance doses to the critical organs close to the principal tumoral volume represents an effective method for optimizing radiotherapeutic treatment for cervical cancer.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009367 Neoplasm Staging Methods which attempt to express in replicable terms the extent of the neoplasm in the patient. Cancer Staging,Staging, Neoplasm,Tumor Staging,TNM Classification,TNM Staging,TNM Staging System,Classification, TNM,Classifications, TNM,Staging System, TNM,Staging Systems, TNM,Staging, Cancer,Staging, TNM,Staging, Tumor,System, TNM Staging,Systems, TNM Staging,TNM Classifications,TNM Staging Systems
D011832 Radiation Injuries Harmful effects of non-experimental exposure to ionizing or non-ionizing radiation in VERTEBRATES. Radiation Sickness,Radiation Syndrome,Injuries, Radiation,Injury, Radiation,Radiation Injury,Radiation Sicknesses,Radiation Syndromes,Sickness, Radiation,Sicknesses, Radiation,Syndrome, Radiation,Syndromes, Radiation
D011879 Radiotherapy Dosage The total amount of radiation absorbed by tissues as a result of radiotherapy. Dosage, Radiotherapy,Dosages, Radiotherapy,Radiotherapy Dosages
D011881 Radiotherapy, Computer-Assisted Computer systems or programs used in accurate computations for providing radiation dosage treatment to patients. Computer-Assisted Radiotherapy,Radiation Therapy, Computer-Assisted,Computer-Assisted Radiation Therapy,Computer Assisted Radiation Therapy,Computer Assisted Radiotherapy,Computer-Assisted Radiation Therapies,Computer-Assisted Radiotherapies,Radiation Therapies, Computer-Assisted,Radiation Therapy, Computer Assisted,Radiotherapies, Computer-Assisted,Radiotherapy, Computer Assisted,Therapies, Computer-Assisted Radiation,Therapy, Computer-Assisted Radiation
D011882 Radiotherapy, High-Energy Radiotherapy using high-energy (megavolt or higher) ionizing radiation. Types of radiation include gamma rays, produced by a radioisotope within a teletherapy unit; x-rays, electrons, protons, alpha particles (helium ions) and heavy charged ions, produced by particle acceleration; and neutrons and pi-mesons (pions), produced as secondary particles following bombardment of a target with a primary particle. Megavolt Radiotherapy,High-Energy Radiotherapy,Radiotherapy, Megavolt,High Energy Radiotherapy,Radiotherapy, High Energy
D012007 Rectum The distal segment of the LARGE INTESTINE, between the SIGMOID COLON and the ANAL CANAL. Rectums
D001918 Brachytherapy A collective term for interstitial, intracavity, and surface radiotherapy. It uses small sealed or partly-sealed sources that may be placed on or near the body surface or within a natural body cavity or implanted directly into the tissues. Curietherapy,Implant Radiotherapy,Plaque Therapy, Radioisotope,Radioisotope Brachytherapy,Radiotherapy, Interstitial,Radiotherapy, Intracavity,Radiotherapy, Surface,Brachytherapy, Radioisotope,Interstitial Radiotherapy,Intracavity Radiotherapy,Radioisotope Plaque Therapy,Radiotherapy, Implant,Surface Radiotherapy,Therapy, Radioisotope Plaque
D002583 Uterine Cervical Neoplasms Tumors or cancer of the UTERINE CERVIX. Cancer of Cervix,Cancer of the Cervix,Cancer of the Uterine Cervix,Cervical Cancer,Cervical Neoplasms,Cervix Cancer,Cervix Neoplasms,Neoplasms, Cervical,Neoplasms, Cervix,Uterine Cervical Cancer,Cancer, Cervical,Cancer, Cervix,Cancer, Uterine Cervical,Cervical Cancer, Uterine,Cervical Cancers,Cervical Neoplasm,Cervical Neoplasm, Uterine,Cervix Neoplasm,Neoplasm, Cervix,Neoplasm, Uterine Cervical,Uterine Cervical Cancers,Uterine Cervical Neoplasm
D004307 Dose-Response Relationship, Radiation The relationship between the dose of administered radiation and the response of the organism or tissue to the radiation. Dose Response Relationship, Radiation,Dose-Response Relationships, Radiation,Radiation Dose-Response Relationship,Radiation Dose-Response Relationships,Relationship, Radiation Dose-Response,Relationships, Radiation Dose-Response

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