METHOD FOR MULTIMODALITY TREATMENT OF LOCALLY ADVANCED CERVICAL CARCINOMA

摘要

FIELD: medicine. ^ SUBSTANCE: invention refers to medicine, oncology, and can be used for multimodality treatment of locally advanced cervical carcinoma. That is ensured by the three-staged therapy. The first stage involves 2 courses of the systemic polychemotherapy. The second stage is embolisation of uterine arteries from both sides. At the third stage a course of the combined radiotherapy follows. It involves the gamma ray teletherapy in a dynamic mode. The patient is exposed to irradiation from two open opposite fields measured 16ù17-19 cm at a single focal dose 4 Gy to a total focal dose 18 Gy. It is followed with the gamma ray teletherapy with fractionating the single focal dose by 2 Gy to the total focal dose 30 Gy. Then a 10-14-day interval is followed with the gamma ray teletherapy from four divided fields measured 6ù17-19 cm at the single focal dose 2 Gy to the total focal dose 50 Gy. Intracavitary gamma ray therapy includes fractionating the single dose by 10 Gy to the total focal dose 50 Gy. ^ EFFECT: method allows optimising treatment of locally advanced cervical carcinoma and improving its clinical effectiveness. ^ 3 ex