Radiation Therapy of Primary Carcinoma of the Vagina

원발성 질암의 방사선치료

  • Huh, Seung-Jae (Department of Radiation Oncology, Samsung Medical Center) ;
  • Shin, Kyung-Hwan (Department of Therapeutic Radiology, College of Medicine, Seoul National University) ;
  • Ahn, Yong-Chan (Department of Radiation Oncology, Samsung Medical Center) ;
  • Ha, Sung-Whan (Department of Therapeutic Radiology, College of Medicine, Seoul National University) ;
  • Park, Charn-Il (Department of Therapeutic Radiology, College of Medicine, Seoul National University)
  • 허승재 (삼성의료원 치료방사선과) ;
  • 신경환 (서울대학교 의과대학 치료방사선과) ;
  • 안용찬 (삼성의료원 치료방사선과) ;
  • 하성환 (서울대학교 의과대학 치료방사선과) ;
  • 박찬일 (서울대학교 의과대학 치료방사선과)
  • Published : 1995.03.01

Abstract

A retrospective study was carried out of 20 patients with histologically proven invasive carcinoma of the vagina from 1979 to 1993; 17 cases with curative primary radiotherapy and three cases with postoperative radiotherapy. The five and ten year overall survival rates were $79\%$ and $53\%$, respectively. Survival was strongly correlated with stage. Five year survival rates of stage I, stage II, and stage III, IV were $100\%$, $78\%$, and $0\%$, respectively. Eight patients experienced recurrences: five within the irradiated volume, two distant metastasis, and one combined both local and distant metastasis. There was no significant late complication. From these data, radiation is effective in the management of the vaginal cancer patients and optimum treatment modality and total dose recommendation are made.

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