Concurrent chemotherapy and radiotherapy: An affordable important improvement in the treatment of advanced cervical cancer

Symonds, R. Paul

doi:10.1002/(sici)1096-911x(199911)33:5<493::aid-mpo10>3.0.co;2-a

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Cervical Cancer1

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2002

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“…8 Recently, it has been shown that chemotherapy given along with pelvic brachytherapy reduces the risk of death by 30±50% compared to patients treated by radiotherapy alone. 36 This signi®cant advance may increase the number of patients referred for radiotherapy.…”

Section: Cervical Cancermentioning

confidence: 99%

Analgesia for pelvic brachytherapy

Smith

Todd

Symonds

2002

British Journal of Anaesthesia

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Pelvic brachytherapy presents the anaesthetist with numerous challenges. Patients vary from highly distressed young adults, to the elderly with coincidental disease severe enough to preclude surgery. The painful radioactive implants remain in place for a number of days. Treatment in isolated rooms reduces radiation exposure to staff, but makes close postoperative monitoring difficult, so the analgesic technique should involve minimum risk to the patient. Although there is very little published evidence of specific analgesic techniques in this area, knowledge of these problems allows the anaesthetist to select appropriate systemic analgesics and regional blocks to provide safe and effective pain relief.

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Section: Cervical Cancermentioning

confidence: 99%