Abstract
Neither the surgical nor the radiotherapeutic treatment of gynecological recurrences infiltrating the pelvic wall can be curative alone. The treatment of this group of patients is possible with the CORT (Combined Operative and Radiotherapeutic Treatment) method. As maximal as possible resection of the malignancy is done for patients having no distant metastases and the brachytherapy guiding tubes are implanted into the tumour bed on the pelvic wall. The brachytherapy is carried out postopera-tively. An accurate analysis cannot be done because of the short follow up and the few cases. The authors do believe that the survival results of this poor prognostic group may improve by means of this method after proper selection of patients.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anthopoulos AP, Manetta A, Larson JE, Podczaski ES, Bartholomew MJ and Mortel R: Pelvic exenteration: a morbidity and mortality analysis of a seven year experience. Gynecol Oncol 35:219–223, 1989.
Barber HRK: Pelvic exenteration. Cancer Invest 5:331–338. 1987.
Deutsch M and Parsons JA: Radiotherapy for carcinoma of the cervix recurrent after surgery. Cancer 34:2051–2055, 1974.
Evans SR, Hilaris BS and Barber HRK: External vs. interstitial irradiation in unresectable recurrent cancer of the cervix. Cancer 28:1284–1288, 1971.
Höckel M, Knapstein PG and Kutzner J: A novel combined operative and radiotherapeutic treatment approach for recurrent gynaecologic malignant lesions infiltrating the pelvic wall. Surg Gynecol Obstet 173:297–302, 1991
Höckel M and Knapstein PG: The combined operative and radiotherapeutic treatment (CORT) of recurrent tumours infiltrating the pelvic wall: first experience with 18 patients. Gynecol Oncol 46:20–28, 1992
Höckel M, Knapstein PG, Hohenfellner R, Rösier HP and Kutzner J: Die kombinierte operative und radiotherapeutische Behandlung (CORT) von Beckenwandrezidiven: Erfahrungsbericht nach 3 Jahren. Geburtsh. u. Frauenheilk 53:169–176. 1993
Höckel M, Vomdran B, Schienger K, Baussmann E and Knapstein PG: Tumour oxigenisation: A new predictive parameter in locally advanced cancer of uterine cervix. Gynecol Oncol 51:141–149, 1993.
Höckel M, Baussmann E, Mitze M and Knapstein PG: Are pelvic side-wall recurrences of cervical cancer biologically different from central relapses. Cancer 74:648–655, 1994.
Knapstein PG, Friedberg V and Sevin BU: Reconstructive surgery in gynaecology. Stuttgart, Germany: Thieme, 1990.
Nori D, Bains M, Hilaris BS, Harrison L, Fass D, Peretz T, Donath D and Fuks Z: New intraoperative brachytherapy techniques for positive or close surgical margins. J Surg Oncol 42:54–59, 1989.
Perez CA and Brady LW: Principles and practice of radiation oncology. JB Lippincott Co, 1987.
Sommers GM, Grigsby PW, Perez CA, Camel MM, Kao MS, Galakatos AE, et al: Outcome of recurrent cervical carcinoma following definitive irradiation. Gynecol Oncol 35:150–155, 1989.
Strauch B, Vasconez LD and Hall-Findlay EJ: Grabb’s encyclopaedia of flaps. Vol. III. Boston: Little Brown and Co. 1990.
Webb MJ and Symmonds RE: Site of recurrence of cervical cancer after radical hysterectomy. Am J Obstet Gynecol 138:813–817, 1980.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
PatyÁnik, M., Mayer, Á., UngÁr, L. et al. Early experiences with combined treatment (surgery and brachytherapy) of gynecological recurrences infiltrating the pelvic wall. Pathol. Oncol. Res. 2, 171–173 (1996). https://doi.org/10.1007/BF02903521
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02903521