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자궁내막암 환자에서 수술 전 방사선치료와 수술 후 방사선치료의 성적 비교 분석
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 금기창 | - |
dc.contributor.author | 서창옥 | - |
dc.contributor.author | 이창걸 | - |
dc.date.accessioned | 2021-12-27T16:50:06Z | - |
dc.date.available | 2021-12-27T16:50:06Z | - |
dc.date.issued | 1995-12 | - |
dc.identifier.issn | 1225-6765 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/186180 | - |
dc.description.abstract | Purpose: To obtain the optical treatment method in patients with endometrial carcinoma(clinical stage FIGO I, II) by comparative analysis between preoperative radiotherapy(pre-op R) and postoperative radiotherapy(post-op RT). Materials and Methods: A retrospctive review of 62 endometrial carcinoma patients referred to the Yonsei Cancer Center for radiotherapy between 1985 and 1991 was undertaken. Of 62 patients, 19 patients(Stage I; 12 patients, Stage II; 7 patients) received pre-op RT before TAH(Total Abdominal Hysterectomy) and BSO(Bilateral Salphingoophorectomy) (Group 1) and 43 patients( Stage 1; 32 patients, Stage 2; 11 patients) received post-op RT after TAH and BSO (Group 2). Pre-op irradiation was given 4-6 weeks prior to surgery and post-op RT was administered on 4-5 weeks following surgery. All patients exept 1 patient(Group2; ICR alone) received external irradiation. Seventy percent(13/19) of pre-op RT group and 54 percent(23/42) of post-op RT group received external pelvic irradiation and intracavitary radiation therapy(ICR). External radiation dose was 39.6-55Gy(median 45Gy) in 5-6week through opposed AP/PA fields or 4-field box technique treating daily, five days per week, 180cGy per fraction. ICR doses were prescreibed to point A(20-39.6 Gy, median 39Gy) in Group 1 and 0.5cm depth from vaginal surface (18-30 Gy, median 21Gy) in Group2. Results: The overall 5year survival rate was 95%. No survival difference between pre-op and post-op RT group.(89.3% vs 97.7%, p>0.1) There was no survival difference by stage, grade and histology between two groups. The survival rate was not affected by presence of residual tumor of surgical specimen after pre-op RT in Group 1(p>0.1), but affected by presence of lymph node metastasis in post-op RT group(p<0.5). The complication rate of pre-op RT group was higher than post-op RT.(16% vs 5%) Conclusion : Post-op radiotherapy offers the advantages of accurate surgical-pathological staging and low complication rate. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | Korean | - |
dc.publisher | 대한치료방사선과학회 | - |
dc.relation.isPartOf | Journal of the Korean Society of Therapeutics Radiology(대한치료방사선과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | 자궁내막암 환자에서 수술 전 방사선치료와 수술 후 방사선치료의 성적 비교 분석 | - |
dc.title.alternative | Comparative Analysis between Preoperative Radiotherapy and Postoperative Radiotherapy in Clinical Stage I and II Endometrial Carcinoma | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiation Oncology (방사선종양학교실) | - |
dc.contributor.googleauthor | 금기창 | - |
dc.contributor.googleauthor | 이창걸 | - |
dc.contributor.googleauthor | 정은지 | - |
dc.contributor.googleauthor | 이상욱 | - |
dc.contributor.googleauthor | 김우철 | - |
dc.contributor.googleauthor | 장세경 | - |
dc.contributor.googleauthor | 오영택 | - |
dc.contributor.googleauthor | 서창옥 | - |
dc.contributor.googleauthor | 김귀언 | - |
dc.contributor.localId | A00272 | - |
dc.contributor.localId | A01919 | - |
dc.contributor.localId | A03240 | - |
dc.relation.journalcode | J03822 | - |
dc.contributor.alternativeName | Keum, Ki Chang | - |
dc.contributor.affiliatedAuthor | 금기창 | - |
dc.contributor.affiliatedAuthor | 서창옥 | - |
dc.contributor.affiliatedAuthor | 이창걸 | - |
dc.citation.volume | 13 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 377 | - |
dc.citation.endPage | 383 | - |
dc.identifier.bibliographicCitation | Journal of the Korean Society of Therapeutics Radiology (대한치료방사선과학회지), Vol.13(4) : 377-383, 1995-12 | - |
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