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Article: Vaginal template implant for cervical carcinoma with vaginal stenosis or inadvertent diagnosis after hysterectomy

TitleVaginal template implant for cervical carcinoma with vaginal stenosis or inadvertent diagnosis after hysterectomy
Authors
Issue Date1994
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ijrobp
Citation
International Journal of Radiation Oncology - Biology - Physics, 1994, v. 28 n. 2, p. 457-462 How to Cite?
AbstractPurpose: For cervical carcinoma patients with poor geometry for conventional intracavitary radiotherapy, a simple vaginal template for interstitial implantation as a substitute was used. This template has also been used to treat patients who had hysterectomy done without knowledge of an early tumor in the cervix, and for patients with recurrent disease. This is a report of the treatment results. Methods and Material: A total of 21 patients were treated over from July 1987 to June 1991 with this vaginal template implant forming part of the treatment, 12 of these were performed for vaginal stenosis. The applicator consists of a front piece and an end piece. Holes were drilled in the front piece to guide the implantation of the cervix or vaginal vault. The diameter of applicators varied from 2 cm to 3.5 cm. Depending on the diameter of the applicators, six to eight needles on the periphery, or eight peripheral plus one central needle were used. The activity of the needles were around 8 mCi with a total length of 5.5 cm. The end piece was locked onto the front piece by a bayonet-type locking device. The purpose of the end piece was two-fold: to make up the length of the whole applicator to fit the vagina and to keep the implanted needles in place without being extruded. The implantation was performed under general anesthesia. Results: One of the twelve patients treated with the vaginal template implant for vaginal stenosis had relapsed centrally but subsequently died of intercurrent disease. Two other patients died of intercurrent disease at 26.2 and 41.9 months, respectively, without evidence of relapse. Nine other patients had been followed with no evidence of local relapse for 23.7 to 54.6 months. Conclusion: This vaginal template implantation is a satisfactory means of treating patients with vaginal stenosis and those who had hysterectomy done without knowledge of an early tumor in cervix.
Persistent Identifierhttp://hdl.handle.net/10722/173201
ISSN
2015 Impact Factor: 4.495
2015 SCImago Journal Rankings: 2.274
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChoy, Den_US
dc.contributor.authorWong, RLCen_US
dc.contributor.authorSham, Jen_US
dc.contributor.authorWu, PMen_US
dc.contributor.authorFoo, DLen_US
dc.contributor.authorNgan, HYSen_US
dc.contributor.authorMa, HKen_US
dc.date.accessioned2012-10-30T06:28:30Z-
dc.date.available2012-10-30T06:28:30Z-
dc.date.issued1994en_US
dc.identifier.citationInternational Journal of Radiation Oncology - Biology - Physics, 1994, v. 28 n. 2, p. 457-462en_US
dc.identifier.issn0360-3016en_US
dc.identifier.urihttp://hdl.handle.net/10722/173201-
dc.description.abstractPurpose: For cervical carcinoma patients with poor geometry for conventional intracavitary radiotherapy, a simple vaginal template for interstitial implantation as a substitute was used. This template has also been used to treat patients who had hysterectomy done without knowledge of an early tumor in the cervix, and for patients with recurrent disease. This is a report of the treatment results. Methods and Material: A total of 21 patients were treated over from July 1987 to June 1991 with this vaginal template implant forming part of the treatment, 12 of these were performed for vaginal stenosis. The applicator consists of a front piece and an end piece. Holes were drilled in the front piece to guide the implantation of the cervix or vaginal vault. The diameter of applicators varied from 2 cm to 3.5 cm. Depending on the diameter of the applicators, six to eight needles on the periphery, or eight peripheral plus one central needle were used. The activity of the needles were around 8 mCi with a total length of 5.5 cm. The end piece was locked onto the front piece by a bayonet-type locking device. The purpose of the end piece was two-fold: to make up the length of the whole applicator to fit the vagina and to keep the implanted needles in place without being extruded. The implantation was performed under general anesthesia. Results: One of the twelve patients treated with the vaginal template implant for vaginal stenosis had relapsed centrally but subsequently died of intercurrent disease. Two other patients died of intercurrent disease at 26.2 and 41.9 months, respectively, without evidence of relapse. Nine other patients had been followed with no evidence of local relapse for 23.7 to 54.6 months. Conclusion: This vaginal template implantation is a satisfactory means of treating patients with vaginal stenosis and those who had hysterectomy done without knowledge of an early tumor in cervix.en_US
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/ijrobpen_US
dc.relation.ispartofInternational Journal of Radiation Oncology - Biology - Physicsen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshBrachytherapy - Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshHysterectomyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshRadiotherapy Dosageen_US
dc.subject.meshUterine Cervical Neoplasms - Radiotherapyen_US
dc.subject.meshVaginal Diseases - Therapyen_US
dc.titleVaginal template implant for cervical carcinoma with vaginal stenosis or inadvertent diagnosis after hysterectomyen_US
dc.typeArticleen_US
dc.identifier.emailNgan, HYS:hysngan@hkucc.hku.hken_US
dc.identifier.authorityNgan, HYS=rp00346en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/0360-3016(94)90071-X-
dc.identifier.pmid8276661-
dc.identifier.scopuseid_2-s2.0-0028079532en_US
dc.identifier.volume28en_US
dc.identifier.issue2en_US
dc.identifier.spage457en_US
dc.identifier.epage462en_US
dc.identifier.isiWOS:A1994MP98100017-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridChoy, D=7102939127en_US
dc.identifier.scopusauthoridWong, RLC=37062711400en_US
dc.identifier.scopusauthoridSham, J=7101655565en_US
dc.identifier.scopusauthoridWu, PM=8663653900en_US
dc.identifier.scopusauthoridFoo, DL=7004304381en_US
dc.identifier.scopusauthoridNgan, HYS=34571944100en_US
dc.identifier.scopusauthoridMa, HK=7403095603en_US

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