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The early postirradiation injury of the bladder and rectum and the risk of late injury of these organs in cervical cancer women treated with radiotherapy

Kamila Czerw-Głąb

Affiliacja i adres do korespondencji
GIN ONKOL, 2004, Vol 2 Numer 1
Streszczenie

Objectives: The postirradiation complications are rare subject of independent elaborations, though the interest of that problem increases. In the most of elaborations we can come across statement that late injury are not able to be foreseen. Design: The aim of this investigation was to discover the connection between incidence of early and late injury in the rectum and the bladder in the group of women with cervical cancer treated with radiotherapy. Materials and methods: Postirradiation injury was estimated retrospectivelly in 125 women with cervical cancer treated with radiotherapy (external beam and brachytherapy with Ra 226 or Cs 137) during the period 1992-1996 in WOO Opole. The estimate was done in EORTC/RTOG score. Test Chi2 was applied in statistic analysis. The level of statistic substantiality was received p<0.05. Results: The early complications in the bladder appeared in 29.6% of treated women, in the rectum – in 32%. The late complications in the bladder appeared in 27.2% of treated women and in rectum in 28.8% of events. The connection between the duration of early injury and the risk of late postirradiation complications in the rectum (p=0.0006) and the bladder (p=0.0045) was discovered. Conclusions: If early complications in the bladder and rectum lasted longer the risk of late injury in these organs increased.

Słowa kluczowe
cervical cancer, the early and late postirradiation complications in the bladder and rectum