IMR Press / EJGO / Volume 27 / Issue 1 / pii/2006110

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Optimal dose for Stage IIIB adenocarcinoma of the uterine cervix on the basis of biological effective dose

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1 Department of Radiology, Sagamihara, Kanagawa, Japan
2 Department of Obstetrics and Gynecology, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
Eur. J. Gynaecol. Oncol. 2006, 27(1), 47–49;
Published: 10 February 2006

Purpose: Prognosis of uterine cervical adenocarcinoma in locally advanced stage treated with radiation therapy has been consid­ered to be much worse than that of squamous cell carcinoma because the optimal dose for the former one has not been determined. Thus, the current study was performed to investigate the optimal dose for Stage IIIB, locally advanced stage, adenocarcinoma of the uterine cervix on the basis of the biological effective dose (BED). Methods: One-hundred and seventy-nine patients with Stage IIIB carcinoma of the uterine cervix were treated with curative intended therapy at Kitasato University Hospital between 1976 and 2000. Out of them, 13 patients had an adenocarcinoma compo­nent in pathological findings. Nine patients were diagnosed with adenocarcinoma and four patients were diagnosed with adenosqua­mous cell carcinoma. All patients were treated with external radiation therapy combined with intracavitary radiation therapy. The total BED10 (T-BED10) was caluculated from the BED of the external beam radiation therapy (E-BED10) plus the BED of the intra­cavitary radiation therapy (A-BED). Results: Overall survival rate was 51 %. Stratified by T-BED10, overall survival rate of the T-BED10 ≥ 100 Gy group was 57% and that of theT-BED10 < 100 Gy group was 30%. There was a trend toward a better survival rate of the T-BED10 ≥ 100 Gy group than the T-BED10 < 100 Gy group. Conclusion: The current study suggested that the optimal dose for Stage IIIB adenocarcinoma of the uterine cervix might be T­BED10 ≥ 100 Gy.

Radiation therapy
Adenocarcinoma of the uterine cervix
Biological effective dose
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