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Conséquences gynécologiques de la radiothérapie pelvienne

Impact of radiotherapy on the female reproductive tract

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Pelvi-périnéologie

Résumé

Le but de cet article est de décrire les effets de la radiothérapie pelvienne sur la sphère gynécologique à l’exclusion des ovaires. Sont ainsi décrites les conséquences immédiates et tardives sur la vulve, le vagin et l’utérus. Les mesures préventives et les stratégies de prise en charge sont discutées. Par ailleurs, ce papier insiste sur l’importance d’une description précise des lésions et sur l’intérêt des échelles standardisées comme le glossaire et l’échelle SOMA-LENT (Subjective-Objective-Management-Analytic-Late Effects of Normal Tissues) dans l’évaluation des séquelles fonctionnelles gynécologiques de la radiothérapie.

Abstract

The purpose of this paper is to review the effects of radiotherapy on the female reproductive tract excluding the ovarian impact. Immediate and late effects on the vulva, vagina, cervix and uterus are described. Preventive and management strategies are discussed. In addition, this paper highlights the importance of using validated tools such as the French and Italian glossary and SOMA-LENT scales to assess more precisely the late toxicity of radiotherapy on the genital tract.

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  1. Service maternité, Hôtel-Dieu, boulevard Léon-Malfreyt, F-63000, Clermont-Ferrand, France

    B. Fatton

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Fatton, B. Conséquences gynécologiques de la radiothérapie pelvienne. Pelv Perineol 5, 121–131 (2010). https://doi.org/10.1007/s11608-010-0306-1

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