Whole Abdominal External Beam Radiation in the Treatment of Primary Carcinoma of the Fallopian Tube

Thirty-two patients with adenocarcinoma of the fallopian tube, treated between 1975 and 1990, were studied. Thirteen patients had stage I disease, 9 stage II, and 10 stage III. All patients underwent bilateral salpingo-oophorectomy, total abdominal hysterectomy, and subcolic omentectomy. All patient...

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Bibliographic Details
Published in:Gynecologic oncology 1997-06, Vol.65 (3), p.473-477
Main Authors: Kojs, Zbigniew, Urbański, Krzysztof, Reinfuss, Marian, Karolewski, Kazimierz, Klimek, Małgorzata, Pudełek, Jacek, Mituś, Jerzy
Format: Article
Language:English
Subjects:
Abdomen
Adenocarcinoma - mortality
Adenocarcinoma - pathology
Adenocarcinoma - radiotherapy
Adenocarcinoma - surgery
Adult
Aged
Biological and medical sciences
Fallopian Tube Neoplasms - mortality
Fallopian Tube Neoplasms - pathology
Fallopian Tube Neoplasms - radiotherapy
Fallopian Tube Neoplasms - surgery
Female
Female genital diseases
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Hemibody Irradiation
Humans
Medical sciences
Middle Aged
Multivariate Analysis
Neoplasm Staging
Postoperative Care
Retrospective Studies
Survival Rate
Tumors
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Summary:Thirty-two patients with adenocarcinoma of the fallopian tube, treated between 1975 and 1990, were studied. Thirteen patients had stage I disease, 9 stage II, and 10 stage III. All patients underwent bilateral salpingo-oophorectomy, total abdominal hysterectomy, and subcolic omentectomy. All patients received postoperative primary whole abdominal external beam radiotherapy. Seventeen patients (53.1%) of the treated group survived NED for at least 5 years. Survival was 76.9% for stage I, 55.6% for stage II, and 20% for stage III. In the Cox multivariate analysis, two variables were independently related to survival: stage of disease and size of residual disease after surgery. Postoperative teleradiotherapy was totally ineffective in gross residual (>2 cm in diameter) disease (0% 5-year NED survivors) and not effective enough in small residual disease (
ISSN:0090-8258
1095-6859
DOI:10.1006/gyno.1997.4663