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Definitive Treatment of Radiation Necrosis

5-Year Results in 77Patients

From the Department of Gynecology, Memorial Hospital, New York, NY.
*Associate Fellowship, ACOG; deceased

Abstract

The problems accompanying radiation necrosis following treatment of cervical cancer are reviewed, and the results attained in 77 cervical cancer patients treated surgically are presented. Of the 77, 17 had conservative operations and 14 lived 5 or more years. Of 40 patients who underwent radical hysterectomy and pelvic node dissection, 31 lived 5 or more years. Of 20 patients subjected to pelvic exenteration for radiation necrosis, 7 lived 5 or more years. The results achieved in terms of lengthened survival appear to have justified the operations, since existence was anything but bearable in most instances.