ABSTRACT
It is reported about significant superior results of two years of the combined ovarian cancer treatment in contrast to operation and chemotherapy. Our therapy is the combination of operation, great field radiation technique, chemotherapy and second-look-operation. The remission of two years: Stage I: 64%, stage II: 50%, stage III: 45% and stage IV: -Only in stage IV no improvement can be achieved by addition of the radiation therapy.
Subject(s)
Ovarian Neoplasms/therapy , Adult , Aged , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Castration , Combined Modality Therapy , Female , Humans , Hysterectomy , Laparoscopy , Lymph Node Excision , Middle Aged , Neoplasm Staging , Ovarian Neoplasms/pathology , Prognosis , Radiotherapy Dosage , ReoperationABSTRACT
Report about 31 second-look-curettages 3--12 months after radiotherapy of cancer of endometrium. In 5 cases the microscopic examination showed carcinoma of the endometrium, in 1 case the tissue formation was atypical. In 2 cases the curettage was not feasible. Indication of the second-look-curettage was discussed.
Subject(s)
Curettage/methods , Uterine Neoplasms/surgery , Adult , Aged , Endometrium/surgery , Female , Humans , Middle Aged , Time Factors , Uterine Neoplasms/radiotherapyABSTRACT
When radiological treatment in carcinoma of the cervix has failed radical operation may still be technically feasible in certain cases. They are, however, always prone to complications resulting from tissue damage due both to radiation and surgery. Among the 6 cases described there was one double-sided necrotic fistula of the ureters and two vesical-colonic-vaginal fistulae. In two patients we observed extended necroses of the pelvic tissue 5 and 7 weeks respectively after the operation with preceding telecobalt therapy; in one case this resulted in bleeding to death. There was only one case without any complications. This had been treated before by contact therapy only without additional percutaneous radition. From this we would like to draw the conclusion that one should refrain from secondary radical operation after telecobalt therapy. The question remaine to be discussed whether in these cases ultra-radical exenteration can be successful.
