Journal article
Treatment of cervical carcinoma with ionizing irradiation using moving fields
Journal of the National Medical Association, v 83(11), pp 986-990
01 Nov 1991
PMID: 1766022
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This study was designed to assess the effectiveness and risk of complications from radiotherapy delivered by the moving field technique as opposed to the more commonly used fixed field technique. Between 1975 and 1985, 131 patients were treated for cervical cancer with a combination of teletherapy and brachytherapy. For teletherapy, 4-MeV photons were used and delivered by moving field technique (120 degrees to 160 degrees arcs, or a 360 degrees rotation). Most patients received one intracavitary radium implant using Fletcher-Suit applicators and the Manchester technique. Twenty-two percent of the patients had stage I disease, 37% stage II, 25% stage III, 13% stage IV, and 2% were unstaged. The cumulative 5-year survival for all patients was 57%. The survival by stage was: stage I, 82%, stage II, 62%, stage III, 53%, and stage IV, 6%. Chronic complications developed in 10 (7.6%) patients. The survival and complication rate of patients treated for cervical cancer with radiation using moving fields compares favorably with that of patients treated with the conventional parallel opposed (AP-PA) fields or the four-field box technique. Further studies are necessary to definitively determine if the moving field technique offers advantages over other techniques.
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Details
- Title
- Treatment of cervical carcinoma with ionizing irradiation using moving fields
- Creators
- S. Magos - Division of Gynecologic Oncology, Medical College of Pennsylvania, Philadelphia 19129M. Ottinger - Division of Gynecologic Oncology, Medical College of Pennsylvania, Philadelphia 19129J. Parker - Division of Gynecologic Oncology, Medical College of Pennsylvania, Philadelphia 19129C. J. Dunton - Division of Gynecologic Oncology, Medical College of Pennsylvania, Philadelphia 19129E. Hernandez - Division of Gynecologic Oncology, Medical College of Pennsylvania, Philadelphia 19129
- Publication Details
- Journal of the National Medical Association, v 83(11), pp 986-990
- Publisher
- National Medical Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Nurse Practitioner Master of Science in Nursing (MSN)
- Web of Science ID
- WOS:A1991GP56800011
- Scopus ID
- 2-s2.0-0026250114
- Other Identifier
- 991019184286604721
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- Web of Science research areas
- Medicine, General & Internal