KẾT QUẢ ĐIỀU TRỊ BIẾN CHỨNG DO XẠ TRỊ UNG THƯ CỔ TỬ CUNG

Abstract

Objective: Evaluation the results of treatment for complications caused by radiation therapy for cervical cancer. Methods: Retrospective study on 37 patients diagnosed with gastrointestinal, genitourinary complications caused by radiation therapy for cervical cancer who were operated at Viet Duc hospital from 2/2007 to 12/2020. Results: 100% of patients had bleeding rectal ulcer, of which 18 patients (48.6%) had complications of stenosis and  genitourinary  organs fistula. Some other genitourinary complications: cystitis 8 patients (21.6%), ureteral stenosis 8 patients (21.6%), vaginal stenosis (no fistula into the rectum) 26 patients (70.3%).  Indication for surgery mainly due to  bleeding rectal  ulcers 19/37 patients (51.4%). Surgical removal of the lesion (Mille and Hartmann procedures) is the mainly for 27 patients, accounting for 73%. Proctectomy, hysterectomy, cystectomy, coloanal anastomosis and colostomy for 6/37 patients (16,2%). There was no complications, severe  complications postoperative, and there was no deaths. Long-term results, 7 patients died from local recurrence, or metastasis, accounting for 19%. The postoperative patients are healthy, participate in community activities relatively normally, no longer have gastrointestinal bleeding. Conclusion: Radiation therapy for cervical cancer still has severe complications for adjacent organs and anatomical structures. Surgery brought good results, there was no complications and serious complications after surgery. Long-term results, the cause of death is cancer recurrence and metastasis.