ABSTRACT
A series of 244 patients with vulvar squamous cell carcinomas was analyzed with regard to treatment of the regional lymph nodes. In 144 patients, groin dissection was performed, supplemented in 24 cases by pelvic lymphadenectomy. Preoperative irradiation was given and in cases with positive nodes postoperative irradiation as well. Patients in whom lymph node dissection was not performed received irradiation. Treatment failures in the regional lymph node regions were analyzed and the policy concerning treatment of the regional lymph nodes is discussed.
Subject(s)
Carcinoma, Squamous Cell/radiotherapy , Lymph Node Excision , Vulvar Neoplasms/radiotherapy , Carcinoma, Squamous Cell/surgery , Cesium Radioisotopes/therapeutic use , Cobalt Radioisotopes/therapeutic use , Combined Modality Therapy , Female , Humans , Lymphatic Metastasis/prevention & control , Radiotherapy Dosage , Time Factors , Vulva/surgery , Vulvar Neoplasms/surgeryABSTRACT
Dose distribution around intracavitary applicators (Stockholm technique) has been investigated. The gradient of dose around the combination of intrauterine and vaginal applicators used is steep. The position of the uterus with and without the radium applicators inserted varies. Together with the steep dose gradient this implies that external irradiation following intracavitary treatment involves a risk for overdosage to tissues in the vicinity of the uterus and underdosage to the parametrium.
