AROI-ESTRO GYN Teaching Course

Prophylactic extended-field irradiation of para-aortic lymph

nodes in stages IIB & bulky IB and IIA cervical carcinomas

Ten-year treatment results of RTOG 79-20. JAMA 1995

• 10 yr OS - 44% Vs 55%

• DFS – similar 40 Vs 42%;

• LRF similar - 35% Vs 31%

• Better Survival following first failure

• Higher G 4 & 5 toxicities at 10 yrs 4% vs 8%

• Death due to RT complications 1% vs 2%