[Severe arterial complications of radiosurgical treatment of uterine cancer. Apropos of 7 cases].
Complications in 7 of 350 patients receiving radio-surgical treatment of uterine cancer were severe hemorrhages from a large pelvic arterial trunk. The often complex clinical aspects and therapeutic conduct are discussed, as well as etiological factors of these accidents. These complications are more likely to occur in patients with large, secondary infected tumors treated by extensive and difficult surgery (enlarged lymphadenocolpophysterectomy) and high dose radiotherapy. They are provoked by necrotizing arteritis lesions for which the most effective hemostatic procedure is ligature of the trunk involved, the emergency situation usually excluding a more sophisticated embolization technique. The problem of revascularization of the lower limbs may then arise, for which only an extrafocal bypass appears possible. These hemorrhagic complications could be prevented perhaps by certain precautions during therapy.
D000230:Adenocarcinoma / Q000628:therapy*; D000328:Adult; D001158:Arteries; D002294:Carcinoma, Squamous Cell / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006470:Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D011379:Prognosis; D012086:Reoperation; D013997:Time Factors; D014594:Uterine Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D014652:Vascular Diseases / Q000209:etiology*
Complications artérielles graves des traitements radiochirurgicaux des cancers de l'utérus. A propos de 7 cas.