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Titolo:
Palliative radiation therapy for gynaecological malignancies
Autore:
Smith, SC; Koh, WJ;
Indirizzi:
Univ Washington, Med Ctr, Dept Radiat Oncol, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 Radiat Oncol, Seattle, WA 98195 USA
Titolo Testata:
BEST PRACTICE & RESEARCH IN CLINICAL OBSTETRICS & GYNAECOLOGY
fascicolo: 2, volume: 15, anno: 2001,
pagine: 265 - 278
SICI:
1521-6934(200104)15:2<265:PRTFGM>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADVANCED PELVIC MALIGNANCIES; SINGLE BRAIN METASTASIS; CENTRAL NERVOUS-SYSTEM; BONE METASTASES; BREAST-CANCER; ONCOLOGY-GROUP; ENDOBRONCHIAL CARCINOMA; PAMIDRONATE DISODIUM; OSSEOUS METASTASES; OVARIAN-CANCER;
Keywords:
gynaecological malignancies; recurrent; metastases; pain; bleeding; obstruction; palliation; radiation therapy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
59
Recensione:
Indirizzi per estratti:
Indirizzo: Smith, SC Univ Washington, Med Ctr, Dept Radiat Oncol, Box 356043, Seattle, WA 98195USA Univ Washington Box 356043 Seattle WA USA 98195 tle, WA 98195USA
Citazione:
S.C. Smith e W.J. Koh, "Palliative radiation therapy for gynaecological malignancies", BEST P R CL, 15(2), 2001, pp. 265-278

Abstract

Patients with advanced, recurrent, or metastatic gynaecological malignancies constitute a heterogenous population with diverse symptomatology. Progressive abdominopelvic disease can result in vaginal or diffuse pelvic bleeding, pain, and visceral or lymphovascular obstruction. Gynaecological cancercan also develop debilitating metastases, in particular to bone, central nervous system, or chest. Radiation therapy is a local-regional treatment modality, that, when applied judiciously, can lead to substantial symptomaticrelief and tumour response. Individualized application is necessary, balancing efficacy and patient convenience versus treatment intensity, expected duration of palliation and potential toxicity. Important factors to consider are a patient's performance status, extent and sites of tumour, specific symptoms, and life expectancy. The optimal incorporation of radiotherapy isbest achieved in the context of a multidisciplinary approach that addresses all facets of palliative care in patients with incurable gynaecological malignancies, to maximize their quality of life and functional level.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/02/20 alle ore 17:20:37