Efficacy of different schedules of HDR brachytherapy in concurrent chemoradiotherapy was evaluated. The study compared the effectiveness of the two HDR brachytherapy schedules which have the same Biological Effective Dose (BED) in locally advanced cervical carcinoma that was treated with concurrent chemoradiotherapy. Included in the study were 377 randomly selected patients with advanced carcinoma of the cervix uteri who were treated during the period 2004-2006. Patients were divided into Group I: 7.2 Gy × 3 fractions and Group II: 6 Gy × 4 fractions. With a median follow-up time of 35 months, local control, disease-free survival and overall survival rates were 80.8%, 63.4%, 98.8% in group I and 86.7%, 63.8%, 97.3% in group II, respectively. There was no statistical significance in terms of local control, disease-free survival, overall survival and complication rates between the two treatment schedules which could be observed. Seven patients in group I developed acute grade 2-4 GI toxicities and two patients in group II. In GU toxicities, there were three patients in group I and three patients in group II who developed grade 2-4 toxicities. In late toxicity, no patient developed grade 3-4 GU toxicities in group I while two patients developed grade 3-4 GU toxicities in group II. In GI toxicities, there were five and six patients in group I and group II, respectively, who developed grade 3-4 severity. Both HDR schedules seem to be safe and effective for the treatment of locally advanced cervical cancer.

译文

评估了不同方案的HDR近距离放射治疗在同步放化疗中的疗效。该研究比较了两种具有相同生物有效剂量 (BED) 的HDR近距离放射治疗方案在同期放化疗治疗的局部晚期宫颈癌中的有效性。研究中包括377随机选择的在2004-2006期间接受治疗的晚期宫颈癌患者。患者分为I组: 7.2 Gy × 3级和II组: 6 Gy × 4级。中位随访时间为35个月,组I的局部控制率、无病生存率和总生存率分别为80.8% 、63.4% 、98.8%,组II的86.7% 、63.8% 、97.3%。在可以观察到的两种治疗方案之间,在局部控制,无病生存,总生存和并发症发生率方面没有统计学意义。第一组有7名患者出现2-4级急性胃肠道毒性,第二组有2名患者。在GU毒性中,第一组有3例患者,第二组有3例患者出现2-4级毒性。在晚期毒性中,第一组没有患者出现3-4级GU毒性,第二组有两名患者出现3-4级GU毒性。在胃肠道毒性方面,第一组和第二组分别有5和6名患者出现3-4级严重程度。两种HDR方案对于局部晚期宫颈癌的治疗似乎都是安全有效的。

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