Radiation therapy of periaortic node metastases in cancer of the uterine cervix and endometrium.
Thirty-eight women with surgically confirmed periaortic lymph node metastases from cervical or endometrial carcinoma received radiation therapy. The 5-year observed actuarial survival and relapse-free rates were 42% and 41%, respectively. Concomitant peritoneal metastases conferred a bleak prognosis. There were no differences in survival as a function of site of origin, histologic characteristics, or bulk of periaortic metastases. Earlier stage disease tended to have a higher probability of cure. Morbidity was acceptable. The results confirmed the importance of radiation therapy in the management of lymph node metastases in uterine cancer.
Potish
R A
RA
Department of Therapeutic Radiology, University of Minnesota Hospital, Minneapolis 55455.
D000328:Adult; D000368:Aged; D001011:Aorta; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000532:radiotherapy / Q000556:secondary*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis / Q000473:pathology / Q000532:radiotherapy*; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000401:mortality / Q000473:pathology; D014594:Uterine Neoplasms / Q000401:mortality / Q000473:pathology