子宫内膜癌串讲幻灯片.ppt

* * * * * * 武汉协和医院肿瘤中心 赵迎超 Quality categories Study design Ascertainment of outcome High Prospective Follow-up for at least 5 years Moderate Prospective Follow-up for 1 and b5 years Low Retrospective Short follow-up of b1 year 子宫内膜癌的靶区勾画 3 近距离照射技术：对肿瘤延伸到阴道者，则阴道的全长应用柱状、Delclos施源器或行组织间植入治疗。临床上不能手术而选择单用放疗者，腔内植入放疗时阴道表面剂量为60Gy，且外照射剂量给予20-30Gy时，中线予以铅挡块以保护膀胱和直肠，然后将盆腔野推量至45-50Gy；对于子宫内膜癌术后需要补充内照射的患者，则予以阴道近距离放疗4?6Gy x 2?3次。 Given the retrospective nature and treatment heterogeneity of our study, we are unable to make definitive therapy recommendations. However, since the majority of our patients