宫颈癌同期放化疗的短期和长期副作用

Harihar Tiwari, Subhadra Choubey
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引用次数: 0

摘要

基于随机试验,同步放化疗(CRT)治疗局部晚期宫颈癌已成为一种成熟的治疗方法。然而,主要的问题仍然是急性和晚期毒性,因此这些研究结论的普遍性。研究时间为2020年10月至2022年5月。经患者同意,从比哈尔邦巴特那的巴特那医学院医院共选取126例IIB至IIIB期宫颈癌患者进行研究。A组以IIIB期患者居多(47.60%),B组以54%(54%)。A组和B组中胎次最多(68.30%),胎次最多(87.30%)。A组和B组中绝大多数(58.73%)和(66.66%)患者在35天的计划时间内完成EBRT。A组27例(42.85%)、B组23例(36.50%)患者在EBRT过程中出现毒性破裂。结论:观察随访6个月后,A组74.60%的患者无疾病证据,B组76.19%的患者无疾病证据或无残留疾病。A组残余病变25.40%,B组残余病变24.60%。
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Short- and Long-term side effects of Concomitant Chemoradiation treatment for Cervical Cancer
Concomitant chemoradiation (CRT) for locally advanced cervical cancer has become an established treatment based on randomised trials. Major concerns, however, remain over the acute and late toxicity and hence the generalisability of the conclusions of these studies. The study period was from October 2020 to May 2022. A total of 126 patients with Stage IIB to IIIB Cervical Cancer were taken for the study from Patna Medical College Hospital, Patna, Bihar with consent from the patients. Most of the patients were of stage IIIB (47.60%) in group A and (54%) in group B. Most of the patients had parity ˃5 (68.30%) in group A and (87.30%) in group B. Most of the patients (58.73%) in group A and (66.66%) in group B completed EBRT within the schedule time of 35 days. Twenty seven (42.85%) patients in group A and twenty three (36.50%) patients in group B had break during EBRT due to toxicity. In conclusion, observation during follow up after 6 months group A patients 74.60% had no evidence of disease and in group B 76.19% had no evidence of disease or no residual disease. In group A 25.40% had residual disease and in group B 24.60% had residual disease.
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