High Versus Low Dose‐Rate Intracavitary Radiotherapy in the Treatment of Carcinoma of the Uterus

Abstract

Stockholm method (Fig. 1). This technique has been developed by Forssell, Heyman, Kottmeier, and their associates (21,33,34,51) and it uses a large amount of radium in short and intense treatment. In the uterus a lime source containing 50 to 75 mg, and in the vagina 60 to 100 mg of radium are distributed. Two treatments, each lasting 25 to 28 hours, with a 2 to 3 weeks interval, are given. The dose to the cervix, lower uterine segment, vaginal vault and the paracervical triangle is approximately 70 Gy. Individualization of each patient's treatment plays an important part in this scheme. Vaginal sources can cause difficulty and to control the uncertain distribution of radium sources various mechanical devices have come into widespread use (17,82,93).