PARA-AORTIC LYMPH-NODE RADIOTHERAPY IN CANCER OF THE UTERINE CORPUS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 65  (2) , 251-256
Abstract
From 1973-1982, 48 women received 4500-5075 rad to the paraaortic lymph nodes as part of their primary management for cancer of the uterine corpus. One patient developed severe enteric morbidity. Five-yr survival rates were 52% in the total group, 57% in clinically staged patients and 47% in surgically staged patients. Patients with surgically confirmed pelvic lymphatic spread had a 5-yr survival rate of 67%. Patients with surgically confirmed paraaortic spread alone or, in addition, pelvic spread had 5 yr survival rates of 47% and 43%, respectively. Eighty-eight percent of recurrences were outside the radiation portals. In contradistinction to much of the last decade''s literature, radiation therapy has salvaged a substantial fraction of patients with nodal metastases; morbidity rates have been acceptable.