Interventional therapy of malignant and advanced gynecologic cancer
Lin Haodong,Du Linan,Fu Shuqi et al(Dept of Radiology,The 1st Affiliated Hospital of Anhui Medical University, Hefei 230022)
Objective To evaluate the clinial value of interventional therapy in patients with malignant and advanced gynecologic cancer. Methods In this study,19 cases of gynecologic cancer(including 14 carcinoma of cervix and 4 carcinoma of endometrium and 1 carcinoma of ovary) were treated with interventional management through internal iliac or uterine artery,among which 12 cases were treated with simple perfusion of chemical drugs and the others were treated with both perfusion and emblization. Operation was performed after interventional treatment in 16 cases. Results Twenty times of interventional treatment were perfomed on 19 patients,including 16 cases with secondary operation and 1 case with second interventional treatment and 2 cases with cancer recurrence after operation. Tumor shringe,central necrosis and the decrease of the amount of intraoperative hemorhage were found in all 16 surgical patients.All patients were alive now and 8 had survived for 1 year above. No serious complications was found in this group. Conclusion This technique is effective in treating malignant and advanced gynecologic cancer. It can improve the condition of patients for further operation and enhance the survival rate.