Results of post-surgical telecobalt radiotherapy of carcinomas of the collum and corpus uteri

Between 1965 and 1975 132 patients suffering from carcinomas of the collum uteri and 124 patients with carcinomas of the corpus received post-surgical telecobalt treatment. The small pelvis was exposed to stationary irradiation (3500 R DH in the abdomen at field dimensions 18 x 6 cm) combined with biaxial perpendicular irradiation (at an angle of 1600, the daily radiation dose was 350 R moving over one axis, with a focal dose fo 2500 R HD). Thus the total focal dose amounted to 6000 R. As this field covered the vagina as far as up to its central third, local radium insertion at the stub of the vagina could be dispensed with. Follow-up after 5 years proved the absence of growths in 80,76% of patients with carcinoma of the collum uteri stage I and 62,5% with stage II. Corpus carcinoma patients were free of growth after 5 years at a rate of 68,0%. Among collum carcinoma patients 1,5% and among corpus carcinoma patients 2,4% were found with isolated vaginal stub recidivations. (orig.)