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[en] This brief note describes a modification of the Selectron (Nucleon Trading, Leersum, The Netherlands) afterloading treatment unit used at the Western Infirmary, Glasgow, as a standard post-operative treatment for corpus carcinoma. Gauze packing previously employed is in effect replaced by 5 mm of nylon and the dose to the surface of the recto-vaginal septum is accurately predetermined. Use of the modification offers the advantage of eliminating a general anaesthetic, with its attendant risks and higher theatre costs. (U.K.)
Journal
[en] The indications and the diagnostic accuracy of hysterosalpingography were evaluated in 100 women who underwent these procedures. The authors concluded that the hysterosalpingography is a method indispensable to evaluate the female sterility and some gynecologic diseases. (author)
Journal
No abstract available
Journal
[en] From 1974 to 1993, 137 women suffering from endometrial carcinoma cT1Nx-0 M0 were entered into the study. The median age was 62 years (range: 39-85 years) and the median follow up was 67 months (range: 0-224 months). Surgery was performable in 132 women (96.35%). For cT1, the 5-year overall and specific survivals were 81.1 % and 84.5 %, respectively. The 10-year overall and specific survivals were 68,8 % and 82,2%, respectively. Concerning cT1pT1, the 5-year overall and specific survivals, were 83.9% and 87.4%. The 10-year overall and specific survivals were 71.1% and 85%, respectively. Historical grade, pelvic lymph node involvement and myometrial infiltration influence significantly the overall and specific survivals of cT1pT1 tumors. According to multivariate analysis, pelvic lymph node involvement was a powerful prognostic for both overall and specific survivals. If we rule out pelvic lymph node involvement, WHO histological grade was a significant prognostic factor. Combination of surgery and radiotherapy is still a common procedure for cT1 tumors. When surgery is done before radiotherapy, tailored irradiation may further take place, according to WHO histological grade and pelvic lymph node status. (authors)
Journal
[en] Purpose: To determine the role of laparoscopic lymphadenectomy (pelvis ± para-aortic nodes) and laparoscopic hysterectomy in cervical cancer compared to 'classic radical surgery' in patients undergoing surgery in comparison with modern imaging in patients treated with radiotherapy alone.Materials and methods: The limitations of modern imaging are presented as well as how complication rates can be increased when classic laparotomy is followed by radiation therapy.Laparoscopic procedures are described with particular emphasis on how to provide information on lymph node metastases with the risk of overlooking microscopic involvement. A number of clinical experiences are cited to illustrate this problem and show how treatment approaches can be adapted.Results: The role of laparoscopy is evaluated according to different clinical situations and treatment protocols emphasizing the possibilities offered by this method to the radiotherapist. Conclusion: When developing laparoscopic techniques for the management of cervical carcinoma, caution must be exercised to ensure that these techniques are not detrimental to the prognosis. (Copyright (c) 1999 Elsevier Science B.V., Amsterdam. All rights reserved.)
Journal
[en] The authors describe and have used a new afterloading applicator in six patients for primary radiation therapy of endometrial cancer. The first introduction of the applicator was done under general anaesthesia. Dilating the cervical canal to Heger 9 made insertion easier. Prior to application it is advisable to probe the lumen of the uterine cavity with a tube or curette to estimate how far the applicator must be spread open. For brachytherapy it is advantageous to remove necrotic tumour portions. This requires experienced hands to avoid perforation of the uterus. The new afterloading applicator is easy to use, and permits direct contact between the six tubes and the tumour. In conjunction with careful planning with the help of MRI, it provides an optimal system for the treatment of endometrial cancer. (Author)
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