eISSN: 2081-2833
ISSN: 2081-0016
Medycyna Paliatywna/Palliative Medicine
Current issue Archive About the journal Editorial board Abstracting and indexing Subscription Contact Instructions for authors
4/2015
vol. 7
 
Share:
Share:
more
 
 
abstract:
Original paper

Palliative radiotherapy in patients with recurrent gynecologic cancers

Sylwester Kubik
,
Andrzej Dukowicz
,
Michał Spych
,
Małgorzata Moszyńska-Zielińska
,
Igor Pietraszek
,
Adam Tomalczyk
,
Leszek Marcin Gottwald

Medycyna Paliatywna 2015; 7(4): 245–249
Online publish date: 2016/03/14
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
Aim of the study: The clinical analysis of patients with recurrent gynecologic cancers, who undergone palliative radiotherapy.

Material and methods: A review of 32 patients with relapsed gynecologic cancers, who undergone palliative radiotherapy between 2002-2012 was conducted. Age of patients, time from diagnosis of primary cancer to relapse, characteristics of primary tumor, indications and fractionation in palliative radiotherapy were analyzed.

Results: The study group constituted 46.9% patients with ovarian cancer, 28.1% patients with cervical cancer, 21.9% patients with endometrial cancer and 3.1% patients with vulvar cancer. The median age of patients was 61.8 ±17.6 yrs. Time from the diagnosis of primary cancer to the palliative radiotherapy was less than 3 yrs. in 78.1%, 3-5 yrs. in 15.6% and more than 5 yrs. in 6.3%. The relapse was unifocal in 43.8% and multifocal in 56.2%. In 29 patients (90.6%) only one location was irradiated: brain (14 patients), vertebral column (7 patients), long bones (3 patients), pelvis (4 patients), vulva (1 patient). In 3 cases (9.4%) two successive areas were irradiated. All calculated dose of irradiation received 90.6% of patients, and 9.4% discontinued treatment.

Conclusions: In patients with good general condition and inoperable recurrent gynecologic cancers in the central nervous system and bones the indications for palliative radiotherapy should be considered. The presence of synchronous metastases in more than one location shall not be deemed to refuse palliative radiotherapy. Appropriate qualification to palliative radiotherapy enable in most cases to complete treatment with the all calculated dose of irradiation, with good tolerance of treatment.
keywords:

palliative radiotherapy, gynecologic cancers, recurrence, treatment

Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe