Abstract
In 1984 we treated 391 patients with cervix carcinoma of all stages (FIGO: st. I—108, st. II—144, st. III—136 and st. IV 3) using Cathetron (HDR Co-60) for brachytherapy and Linear accelerator (10 MeV) for external beam therapy. The treatment regimen were: Cathetron: (a) radical irradiation—4 × 1000 cGY/.A. 1 fraction/week, (b) irradiation after surgery—4 × 750 cGy/0.5 cm, 1 fraction/week. Linear accelerator: (a) radical irradiation—4600 cGy, 22 fractions, 2 opposite fields with central lead shields after 2000 cGy, (b) irradiation after surgery—3600 cGy, 18 fractions, 2 opposite field without central shields. The 5-year survival of patients was: st. I—89/108 (82.4%), st. II—104/144 (72.2%), st. III—55/136 (40.4%), st. IV—0/3 (0.0%) and all stages—248/391 (63.4%). Late post-irradiation sequelae were: 41/391 (10.5%). Local recurrences were: 35/391 (9.0%). Distant metastases: 6.75%.
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