The treatment of XXXX of the uterine cervix with telecobalt irradiation.

@entity1 @entity66 @entity5 @entity4272 @entity957 @entity189 @entity3 @entity850 @entity1953 @entity2335
This is a retrospective analysis of 148 @entity1 with histologically proven @entity5 , treated with irradiation. All @entity1 received external irradiation with @entity1953 60 followed by intracavitary radium application. The median age was 55 years. @entity957 was found in 96.5% of the cases. The 8-year actuarial survival rate was 41%. Bilateral parametrial invasion proved to be a strong prognostic factor. @entity1 with @entity66 had a survival rate of 43% whereas in those with bilateral involvement it was only 15% (P less than 0.005). The total pelvic failure rate was 29.5%. The overall incidence of distant @entity3 was 11%. The complication rate (minor and major complications) was high, with @entity850 (22.5%), @entity4272 (21.5%), @entity2335 (13.5%), and fistulae (4%) occurring in 33, 32, 20, and 6 @entity1 , respectively. New treatment modalities are urgently needed for advanced @entity189 . Bilateral parametrial involvement is an unfavorable prognostic factor and this should be kept in mind when designing new protocols.
