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POSTER
- DILEMMAS ABOUT THE CHOICE OF RE-IRRADIATION METHOD OF RECURRENT
DISEASE OF COLORECTAL CARCINOMA IN FEMALE POPULATION
Bokorov
B, Vujošević B, Ilić A, Petrović T. Bokorov B, Vujošević B, Ilić
A, Petrović T.
Institute
of Oncology Sremska Kamenica, Sremska Kamenica, Serbia
and Montenegro
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ABSTRACT
From June 2000
to June 2003 134 patients (out of which 52 (34%) were female patients)
treated with X-ray therapy for the tumor were analyzed. We analyzed
female patients who were irradiated because of colorectal carcinoma,
those who had already been treated for some other malignant disease
of pelvis (uterus, cervix, and ovaries), and female patients with
locally advanced rectal carcinoma. The dilemma concerning the
treatment of the local recidivism in vagina and bladder was the
subject of discussion among numerous specialists: gynecologists,
radiologists, surgeons-urologists, and oncologists. The discussion
focused on the sequence of treatment: brachytherapy, teletherapy,
surgical intervention and chemotherapy. The conclusion of the
discussion, after consulting the literature is to apply individual
approach for each patient, and to pay attention to complications
which can appear during therapy procedures such as: rectovesical
and rectovaginal fistulas, adhesions of the small bowel which
could lead to ileus, necrosis of the tumor, general intoxication,
etc.
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Keywords:
Rectal carcinoma, Recurrent disease, Fistula rectovaginalis,
Brachytherapy |
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