[Radiation therapy in carcinoma of the endometrium]

A retrospective analysis of 146 patients with carcinoma of the endometrium was carried out. Several kinds of intracavitary irradiation methods has been changed during the past 28 years, the most favorable results was obtained by means of RALS packing method. Five year survival was 100% in stage I, 27.3% in stage II, 18.2% in stage III and 21.5% in total patients treated with radiation therapy alone (33 patients) as compared to those patients who received postoperative irradiation (109 patients) where the survival was 91.4% in stage I, 76.6% in stage II, 71.5% in stage III and 79.8% in total, respectively. Complications of treatment were seen in 9% and 4.5% with radiation alone and postoperative therapy. From these results, an adequate dose distribution by intracavitary irradiation was emphasized for the improvement of local tumor control.