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Role of Radiation Therapy in Treatment of Primary Carcinoma of the Uterine Tube

From the Department of Radiology, Presbyterian Medical Center, Denver, Colorado.
Address reprint requests to Hugh M. Phelps, MD Department of Radiology Maine Medical Center Portland, ME 04102

Primary carcinoma of the uterine tube is a rare malignancy which generally has an unfavorable prognosis. The role of radiotherapy in the management of this disease has not been established. Records of 15 patients referred for postoperative radiotherapy have been reviewed. AH received supervoltage or megavoltage irradiation; selected patients received intraperitoneal radiocolloid. At presentation, 9 patients had Stage I or II disease and 6, Stage III. Eighty-nine percent of patients with disease confined to the pelvis have survived; all patients with Stage III disease have died. We recommend postoperative irradiation for all patients with primary uterine tube carcinoma, including intraperitoneal instillation of radiocolloid when large masses of tumor are not present. Patients presenting with advanced disease may achieve significant palliation with radiotherapy followed by chemotherapy.