Vaginal metastases from adenocarcinoma of the corpus uteri

Autor: Gilbert H. Fletcher, So Khim Tan, Felix N. Rutledge
Rok vydání: 1958
Předmět:
Zdroj: American Journal of Obstetrics and Gynecology. 75:167-174
ISSN: 0002-9378
DOI: 10.1016/0002-9378(58)90566-0
Popis: In 245 cases of adenocarcinoma of the corpus uteri seen, 35 cases showed disease in the vagina. These vaginal metastatic lesions were present in 15 cases when the patients were first seen, without prior treatment. In the remaining 20 who had previous treatment, 16 had had hysterectomy outside; 2 had hysterectomy in this institution without radium therapy to the vagina, out of a group of 10 so treated; and 2 out of a group of 139 treated with radium, 95 of whom had a hysterectomy also. Forty-two patients have a minimum of 4 years' follow-up. Because of the fact that the majority of vaginal metastases appear within one year and also that 42 cases have been followed for 4 years, the 1.5 per cent incidence, compared with that given in other reports, seems to point to the effectiveness of prophylactic radium therapy to the uterus and vagina. This justifies carrying out such prophylactic irradiation. Longer follow-up will determine how low this incidence will stay.
Databáze: OpenAIRE