ПОСТЛУЧЕВОЙ РЕКТИТ У БОЛЬНЫХ РАКОМ ШЕЙКИ МАТКИ.
Аннотация
Лучевая терапия широко применяется в лечении рака шейки матки и часто является основным методом на поздних стадиях болезни, когда хирургическое вмешательство невозможно. В некоторых случаях она дополняется химиотерапией, чтобы достичь наилучшего результата. В статье содержится данные о современном состояния вопроса, касающегося постлучевых осложнений, возникающих у пациенток с раком шейки матки после прохождения лучевой терапии, а так же рассматриваются морфологические особенности этих осложнений и предлагаются методы их профилактики.
Литература
1 Батырова Л.М. Профилактика постлучевых осложнений у пациенток с раком шейки матки. // Онкология и радиология казахстана. 2011. № 1 (18). С. 39 . Batyrova L.M. Prevention of post-radiation complications in patients with cervical cancer. // Oncology and Radiology of Kazakhstan. 2011. No. 1 (18). p. 39
2 Бардычев М.С., Кацалап С.М., Курпешева А.К. и др. «Диагностика и лечение местных лучевых повреждений». // Мед. радиол., 1992, т.37, №11, с. 12-14. Bardychev M.S., Katsalap S.M., Kurpesheva A.K., etc. "Diagnosis and treatment of local radiation injuries". // Med. radiol., 1992, vol.37, No. 11, pp. 12-14.
3 БенСуссан E, Antonietti M, G Савой, Эрве S, P. Ducrotte, Lerebours Е. Аргон плазменная коагуляция в лечении геморрагических проктитов. // Eur J. Gastroenterol. Hepatol 2004; 16 (2): 131. Бенсуссан Э., Антониетти М., Г. Савой, Ррве С., П. Дюкротт, Леребурс Е. Аргон плазменная коагуляция в лечении геморагических заболеваний. // Eur J. Гастроэнтерол. Гепатол 2004; 16 (2): 131.
4 Винокуров В.Л., Жаринов Г.М., Валькович А.А. и др. Профилактика лучевых повреждений прямой кишки и мочевого пузыря у больных раком шейки матки // Вопр. Онкологии, 1990, т. 36, №9, с. 1119-1120. Vinokurov V.L., Zharinov G.M., Valkovich A.A. and others. Prevention of radiation damage to the rectum and bladder in patients with cervical cancer // Vopr. Oncology, 1990, vol. 36, No. 9, pp. 1119-1120.
5 Габелов А.А., Холин В.В., Лубенец Э.Н. «Поздние лучевые повреждения прямой кишки». // Метод. рекомендации Минздрава СССР. Л., 1978, 18 стр. Gabelov A.A., Kholin V.V., Lubenets E.N. "Late radiation injuries of the rectum". // Method. recommendations of the Ministry of Health of the USSR. L., 1978, 18 p.
6 Жаринов Г.М. «Лучевая терапия больных раком шейки матки в условиях модификации радиочувствительности нормальных и опухолевых тканей». // Автореф. дис. д-ра мед. наук, СПб, 1993, 30 с. Zharinov G.M. "Radiation therapy of patients with cervical cancer in conditions of modification of radiosensitivity of normal and tumor tissues". // Abstract of the dissertation of the Doctor of Medical Sciences, St. Petersburg, 1993, 30 p.
7 Крикунова Л.И. «Лучевая терапия рака шеки матки». // Практ. Онкология, 2002, т.3, №3. Krikunova L.I. "Radiation therapy of cervical cancer". // Practice. Oncology, 2002, vol.3, No. 3.
8 «Лучевая терапия в лечении рака». // Практическое руководство, ВОЗ, М.:Медицина, 2000, 338 с. "Radiation therapy in the treatment of cancer". // Practical guide, WHO, M.:Medicine, 2000, 338 p
9 Павлов А.С., Костромина К.Н. «Рак шейки матки». // М., Медицина, 1983, 160 с. 12. Столяров И.В., Винокуров В.Л. «Проблемы больных после лечения рака шейки матки (профилактика и лечение осложнений)». // Практическая онкология, т.3, №3, 2002, 220- 227. Pavlov A.S., Kostromina K.N. "Cervical cancer". // M., Medicine, 1983, 160 p. 12. Stolyarov I.V., Vinokurov V.L. "Problems of patients after treatment of cervical cancer (prevention and treatment of complications)". // Practical Oncology, vol.3, №3, 2002, 220- 227.
10 Семикоз Н.Г., Шлопов В.Г. Променевий патоморфоз органів і тканин малого таза при лікування раку тіла та шейки матки. - - Донецк: Китис, 2000. - 152с. Semikoz N.G., Shlopov V.G. Promeneviy pathomorphosis organiv i tissue of the small pelvis in case of cancer of the cervix. - - Donetsk: Kitis, 2000. - 152s.
11 Int J Colorectal Dis, 2017 Jul;32(7):1037-1040. doi: 10.1007/s00384-017-2759-y. Epub 2017 Jan 20. Outpatient application of formalin for chronic rectal bleeding after prostate irradiation: a quasi-experimental study, Gustavo Arruda Viani, Aline Sakamoto.
Int J Colorectal Dis, 2017 Jul;32(7):1037-1040. doi: 10.1007/s00384-017-2759-y. Epub 2017 Jan 20. Outpatient application of formalin for chronic rectal bleeding after prostate irradiation: a quasi-experimental study, Gustavo Arruda Viani, Aline Sakamoto.
12 Rep Pract Oncol Radiother, 2018 Jan-Feb;23(1):21-27,Morbidity dynamics in proton-photon or photon radiation therapy for locally advanced prostate cancer, Evgeny V Khmelevsky , Irina N Kancheli, Vladimir S Khoroshkov, Andrey D Kaprin.
Rep Pract Oncol Radiother, 2018 Jan-Feb;23(1):21-27, Morbidity dynamics in proton-photon or photon radiation therapy for locally advanced prostate cancer, Evgeny V Khmelevsky , Irina N Kancheli, Vladimir S Khoroshkov, Andrey D Kaprin.
13 Radiographics, 2016 Mar-Apr;36(2):538-53. Post-Radiation Therapy Imaging Appearances in Cervical Carcinoma, Ioanna Papadopoulou, Victoria Stewart, Tara D Barwick , Won-Ho Edward Park , Neil Soneji , Andrea G Rockall , Nishat Bharwani.
Radiographics, 2016 Mar-Apr;36(2):538-53. Post-Radiation Therapy Imaging Appearances in Cervical Carcinoma, Ioanna Papadopoulou, Victoria Stewart, Tara D Barwick , Won-Ho Edward Park , Neil Soneji , Andrea G Rockall , Nishat Bharwani.
14 Clark BG, Souhami L, Roman TN, Chappell R, Evans MDC, Fowler JF. The prediction of late rectal complications in patients treated with high dose-rate brachytherapy for carcinoma of the cervix. // Int J Radiat Oncol Biol Phys, 1997; 38:989-993. Clark BG, Souhami L, Roman TN, Chappell R, Evans MDC, Fowler JF. The prediction of late rectal complications in patients treated with high dose-rate brachytherapy for carcinoma of the cervix. // Int J Radiat Oncol Biol Phys, 1997; 38:989-993.
15 Guilherme Cotti, Victor Seid, Sérgio Araujo, Afonso Henrique Silva e Souza Jr., Desidério Roberto Kiss and Angelita Habr-Gama. «CONSERVATIVE THERAPIES FOR HEMORRHAGIC RADIATION PROCTITIS: A REVIEW». // Rev. Hosp. Clín. Fac. Med. S. Paulo, 2003; 58(5):284-292. Guilherme Cotti, Victor Seid, Sérgio Araujo, Afonso Henrique Silva e Souza Jr., Desidério Roberto Kiss and Angelita Habr-Gama. «CONSERVATIVE THERAPIES FOR HEMORRHAGIC RADIATION PROCTITIS: A REVIEW». // Rev. Hosp. Clín. Fac. Med. S. Paulo, 2003; 58(5):284-292.
16 GUL YA, PRASANNAN S, JABAR FM et al. «Pharmacotherapy for chronic hemorrhagic radiation proctitis».// World J Surg., 2002; 26:1499-1502. GUL YA, PRASANNAN S, JABAR FM et al. «Pharmacotherapy for chronic hemorrhagic radiation proctitis».// World J Surg., 2002; 26:1499-1502.
17 Hovdenak N, Fajardo LF, Hauer-Jensen M. Acute radiation proctitis: a sequential clinicopathologic study during pelvic radiotherapy. // Int. J. Radiat Oncol Biol Phys, 2000; 48:1111-1117. Hovdenak N, Fajardo LF, Hauer-Jensen M.
Acute radiation proctitis: a sequential clinicopathologic study during pelvic radiotherapy. // Int. J. Radiat Oncol Biol Phys, 2000; 48:1111-1117.
18
KOCHHAR R., SRIRAM P.V., SHARMA S.C. et al. « Natural history of late radiation proctosigmoiditis treated with topical sucralfate suspension». // Dig Dis Sci 1999; 44:973-978. KOCHHAR R., SRIRAM P.V., SHARMA S.C. et al. « Natural history of late radiation proctosigmoiditis treated with topical sucralfate suspension». // Dig Dis Sci 1999; 44:973-978.
19 Richter KK, Fink LM, Hughes BM, Sung CC, Hauer-Jensen M. Is the loss of endothelial thrombomodulin involved in the mechanism of chronicity in late radiation enteropathy? //Radiother Oncol, 1997; 44:65-71. Richter KK, Fink LM, Hughes BM, Sung CC, Hauer-Jensen M. Is the loss of endothelial thrombomodulin involved in the mechanism of chronicity in late radiation enteropathy? //Radiother Oncol, 1997; 44:65-71.
20 Roeske JC, Mundt AJ, Halpern H, Sweeney P, Sutton H, Powers C. et al. Late rectal sequelae following de®nitive radiation therapy for carcinoma of the uterine cervix: a dosimetric analysis. // Int J Radiat Oncol Biol Phys 1997; 37:351-358. Roeske JC, Mundt AJ, Halpern H, Sweeney P, Sutton H, Powers C. et al. Late rectal sequelae following de®nitive radiation therapy for carcinoma of the uterine cervix: a dosimetric analysis. // Int J Radiat Oncol Biol Phys 1997; 37:351-358.
21 Saclarides TJ, King DC, Franklin JL, Doolas A. Formalin instillation for refractory radiationinduced hemorrhagic proctitis: Report of 16 patients. // Dis Colon Rectum 1996; 39:196-199. Saclarides TJ, King DC, Franklin JL, Doolas A. Formalin instillation for refractory radiationinduced hemorrhagic proctitis: Report of 16 patients. // Dis Colon Rectum 1996; 39:196-199.
22 Silva RA, Correia AJ, Dias LM, Viana HL, Viani L. Argon plasma coagulation therapy for hemorrhagic radiation proctosigmoiditis. // Gastrointest Endosc 1999; 50:221-224. Silva RA, Correia AJ, Dias LM, Viana HL, Viani L. Argon plasma coagulation therapy for hemorrhagic radiation proctosigmoiditis. // Gastrointest Endosc 1999; 50:221-224.
23 Swaroop VS, Gostout CJ. Endoscopic treatment of chronic radiation proctopathy. // J Clin. Gastroenterol., 1998; 27(1):36-40. Swaroop VS, Gostout CJ. Endoscopic treatment of chronic radiation proctopathy. // J Clin. Gastroenterol., 1998; 27(1):36-40.
24 Warren DC, Feehan P, Slade JB, Cianci PE. Chronic radiation proctitis treated with hyperbaric oxygen. // Undersea Hyperbaric Med.1997:181-184. Warren DC, Feehan P, Slade JB, Cianci PE. Chronic radiation proctitis treated with hyperbaric oxygen. // Undersea Hyperbaric Med.1997:181-184.
25 Yeoh E, Sun WM, Russo A, lbanez L, Horowitz M. A retrospective study of the effects of pelvic irradiation for gynecological cancer on anorectal function. // Int J Radiat Oncol Biol Phys, 1996; 35:1003-1010. Yeoh E, Sun WM, Russo A, lbanez L, Horowitz M. A retrospective study of the effects of pelvic irradiation for gynecological cancer on anorectal function. // Int J Radiat Oncol Biol Phys, 1996; 35:1003-1010.
26 YOUNG-FADOK T.M. «Successful and sustained treatment of chronic radiation proctitis with antioxidant vitamins E and C». // Dis Colon Rectum, 2002; 45-50. YOUNG-FADOK T.M. «Successful and sustained treatment of chronic radiation proctitis with antioxidant vitamins E and C». // Dis Colon Rectum, 2002; 45-50.
27 Zimmermann FB, Feldmann JJ. Radiation proctitis. Clinical and pathological manifestations, therapy and prophylaxis of acute and late injurious effects of radiation on the rectal mucosa. // Strahlenther Onkol, 1998;174:85-89 . Zimmermann FB, Feldmann JJ. Radiation proctitis. Clinical and pathological manifestations, therapy and prophylaxis of acute and late injurious effects of radiation on the rectal mucosa. // Strahlenther Onkol, 1998;174:85-89 .
2 Бардычев М.С., Кацалап С.М., Курпешева А.К. и др. «Диагностика и лечение местных лучевых повреждений». // Мед. радиол., 1992, т.37, №11, с. 12-14. Bardychev M.S., Katsalap S.M., Kurpesheva A.K., etc. "Diagnosis and treatment of local radiation injuries". // Med. radiol., 1992, vol.37, No. 11, pp. 12-14.
3 БенСуссан E, Antonietti M, G Савой, Эрве S, P. Ducrotte, Lerebours Е. Аргон плазменная коагуляция в лечении геморрагических проктитов. // Eur J. Gastroenterol. Hepatol 2004; 16 (2): 131. Бенсуссан Э., Антониетти М., Г. Савой, Ррве С., П. Дюкротт, Леребурс Е. Аргон плазменная коагуляция в лечении геморагических заболеваний. // Eur J. Гастроэнтерол. Гепатол 2004; 16 (2): 131.
4 Винокуров В.Л., Жаринов Г.М., Валькович А.А. и др. Профилактика лучевых повреждений прямой кишки и мочевого пузыря у больных раком шейки матки // Вопр. Онкологии, 1990, т. 36, №9, с. 1119-1120. Vinokurov V.L., Zharinov G.M., Valkovich A.A. and others. Prevention of radiation damage to the rectum and bladder in patients with cervical cancer // Vopr. Oncology, 1990, vol. 36, No. 9, pp. 1119-1120.
5 Габелов А.А., Холин В.В., Лубенец Э.Н. «Поздние лучевые повреждения прямой кишки». // Метод. рекомендации Минздрава СССР. Л., 1978, 18 стр. Gabelov A.A., Kholin V.V., Lubenets E.N. "Late radiation injuries of the rectum". // Method. recommendations of the Ministry of Health of the USSR. L., 1978, 18 p.
6 Жаринов Г.М. «Лучевая терапия больных раком шейки матки в условиях модификации радиочувствительности нормальных и опухолевых тканей». // Автореф. дис. д-ра мед. наук, СПб, 1993, 30 с. Zharinov G.M. "Radiation therapy of patients with cervical cancer in conditions of modification of radiosensitivity of normal and tumor tissues". // Abstract of the dissertation of the Doctor of Medical Sciences, St. Petersburg, 1993, 30 p.
7 Крикунова Л.И. «Лучевая терапия рака шеки матки». // Практ. Онкология, 2002, т.3, №3. Krikunova L.I. "Radiation therapy of cervical cancer". // Practice. Oncology, 2002, vol.3, No. 3.
8 «Лучевая терапия в лечении рака». // Практическое руководство, ВОЗ, М.:Медицина, 2000, 338 с. "Radiation therapy in the treatment of cancer". // Practical guide, WHO, M.:Medicine, 2000, 338 p
9 Павлов А.С., Костромина К.Н. «Рак шейки матки». // М., Медицина, 1983, 160 с. 12. Столяров И.В., Винокуров В.Л. «Проблемы больных после лечения рака шейки матки (профилактика и лечение осложнений)». // Практическая онкология, т.3, №3, 2002, 220- 227. Pavlov A.S., Kostromina K.N. "Cervical cancer". // M., Medicine, 1983, 160 p. 12. Stolyarov I.V., Vinokurov V.L. "Problems of patients after treatment of cervical cancer (prevention and treatment of complications)". // Practical Oncology, vol.3, №3, 2002, 220- 227.
10 Семикоз Н.Г., Шлопов В.Г. Променевий патоморфоз органів і тканин малого таза при лікування раку тіла та шейки матки. - - Донецк: Китис, 2000. - 152с. Semikoz N.G., Shlopov V.G. Promeneviy pathomorphosis organiv i tissue of the small pelvis in case of cancer of the cervix. - - Donetsk: Kitis, 2000. - 152s.
11 Int J Colorectal Dis, 2017 Jul;32(7):1037-1040. doi: 10.1007/s00384-017-2759-y. Epub 2017 Jan 20. Outpatient application of formalin for chronic rectal bleeding after prostate irradiation: a quasi-experimental study, Gustavo Arruda Viani, Aline Sakamoto.
Int J Colorectal Dis, 2017 Jul;32(7):1037-1040. doi: 10.1007/s00384-017-2759-y. Epub 2017 Jan 20. Outpatient application of formalin for chronic rectal bleeding after prostate irradiation: a quasi-experimental study, Gustavo Arruda Viani, Aline Sakamoto.
12 Rep Pract Oncol Radiother, 2018 Jan-Feb;23(1):21-27,Morbidity dynamics in proton-photon or photon radiation therapy for locally advanced prostate cancer, Evgeny V Khmelevsky , Irina N Kancheli, Vladimir S Khoroshkov, Andrey D Kaprin.
Rep Pract Oncol Radiother, 2018 Jan-Feb;23(1):21-27, Morbidity dynamics in proton-photon or photon radiation therapy for locally advanced prostate cancer, Evgeny V Khmelevsky , Irina N Kancheli, Vladimir S Khoroshkov, Andrey D Kaprin.
13 Radiographics, 2016 Mar-Apr;36(2):538-53. Post-Radiation Therapy Imaging Appearances in Cervical Carcinoma, Ioanna Papadopoulou, Victoria Stewart, Tara D Barwick , Won-Ho Edward Park , Neil Soneji , Andrea G Rockall , Nishat Bharwani.
Radiographics, 2016 Mar-Apr;36(2):538-53. Post-Radiation Therapy Imaging Appearances in Cervical Carcinoma, Ioanna Papadopoulou, Victoria Stewart, Tara D Barwick , Won-Ho Edward Park , Neil Soneji , Andrea G Rockall , Nishat Bharwani.
14 Clark BG, Souhami L, Roman TN, Chappell R, Evans MDC, Fowler JF. The prediction of late rectal complications in patients treated with high dose-rate brachytherapy for carcinoma of the cervix. // Int J Radiat Oncol Biol Phys, 1997; 38:989-993. Clark BG, Souhami L, Roman TN, Chappell R, Evans MDC, Fowler JF. The prediction of late rectal complications in patients treated with high dose-rate brachytherapy for carcinoma of the cervix. // Int J Radiat Oncol Biol Phys, 1997; 38:989-993.
15 Guilherme Cotti, Victor Seid, Sérgio Araujo, Afonso Henrique Silva e Souza Jr., Desidério Roberto Kiss and Angelita Habr-Gama. «CONSERVATIVE THERAPIES FOR HEMORRHAGIC RADIATION PROCTITIS: A REVIEW». // Rev. Hosp. Clín. Fac. Med. S. Paulo, 2003; 58(5):284-292. Guilherme Cotti, Victor Seid, Sérgio Araujo, Afonso Henrique Silva e Souza Jr., Desidério Roberto Kiss and Angelita Habr-Gama. «CONSERVATIVE THERAPIES FOR HEMORRHAGIC RADIATION PROCTITIS: A REVIEW». // Rev. Hosp. Clín. Fac. Med. S. Paulo, 2003; 58(5):284-292.
16 GUL YA, PRASANNAN S, JABAR FM et al. «Pharmacotherapy for chronic hemorrhagic radiation proctitis».// World J Surg., 2002; 26:1499-1502. GUL YA, PRASANNAN S, JABAR FM et al. «Pharmacotherapy for chronic hemorrhagic radiation proctitis».// World J Surg., 2002; 26:1499-1502.
17 Hovdenak N, Fajardo LF, Hauer-Jensen M. Acute radiation proctitis: a sequential clinicopathologic study during pelvic radiotherapy. // Int. J. Radiat Oncol Biol Phys, 2000; 48:1111-1117. Hovdenak N, Fajardo LF, Hauer-Jensen M.
Acute radiation proctitis: a sequential clinicopathologic study during pelvic radiotherapy. // Int. J. Radiat Oncol Biol Phys, 2000; 48:1111-1117.
18
KOCHHAR R., SRIRAM P.V., SHARMA S.C. et al. « Natural history of late radiation proctosigmoiditis treated with topical sucralfate suspension». // Dig Dis Sci 1999; 44:973-978. KOCHHAR R., SRIRAM P.V., SHARMA S.C. et al. « Natural history of late radiation proctosigmoiditis treated with topical sucralfate suspension». // Dig Dis Sci 1999; 44:973-978.
19 Richter KK, Fink LM, Hughes BM, Sung CC, Hauer-Jensen M. Is the loss of endothelial thrombomodulin involved in the mechanism of chronicity in late radiation enteropathy? //Radiother Oncol, 1997; 44:65-71. Richter KK, Fink LM, Hughes BM, Sung CC, Hauer-Jensen M. Is the loss of endothelial thrombomodulin involved in the mechanism of chronicity in late radiation enteropathy? //Radiother Oncol, 1997; 44:65-71.
20 Roeske JC, Mundt AJ, Halpern H, Sweeney P, Sutton H, Powers C. et al. Late rectal sequelae following de®nitive radiation therapy for carcinoma of the uterine cervix: a dosimetric analysis. // Int J Radiat Oncol Biol Phys 1997; 37:351-358. Roeske JC, Mundt AJ, Halpern H, Sweeney P, Sutton H, Powers C. et al. Late rectal sequelae following de®nitive radiation therapy for carcinoma of the uterine cervix: a dosimetric analysis. // Int J Radiat Oncol Biol Phys 1997; 37:351-358.
21 Saclarides TJ, King DC, Franklin JL, Doolas A. Formalin instillation for refractory radiationinduced hemorrhagic proctitis: Report of 16 patients. // Dis Colon Rectum 1996; 39:196-199. Saclarides TJ, King DC, Franklin JL, Doolas A. Formalin instillation for refractory radiationinduced hemorrhagic proctitis: Report of 16 patients. // Dis Colon Rectum 1996; 39:196-199.
22 Silva RA, Correia AJ, Dias LM, Viana HL, Viani L. Argon plasma coagulation therapy for hemorrhagic radiation proctosigmoiditis. // Gastrointest Endosc 1999; 50:221-224. Silva RA, Correia AJ, Dias LM, Viana HL, Viani L. Argon plasma coagulation therapy for hemorrhagic radiation proctosigmoiditis. // Gastrointest Endosc 1999; 50:221-224.
23 Swaroop VS, Gostout CJ. Endoscopic treatment of chronic radiation proctopathy. // J Clin. Gastroenterol., 1998; 27(1):36-40. Swaroop VS, Gostout CJ. Endoscopic treatment of chronic radiation proctopathy. // J Clin. Gastroenterol., 1998; 27(1):36-40.
24 Warren DC, Feehan P, Slade JB, Cianci PE. Chronic radiation proctitis treated with hyperbaric oxygen. // Undersea Hyperbaric Med.1997:181-184. Warren DC, Feehan P, Slade JB, Cianci PE. Chronic radiation proctitis treated with hyperbaric oxygen. // Undersea Hyperbaric Med.1997:181-184.
25 Yeoh E, Sun WM, Russo A, lbanez L, Horowitz M. A retrospective study of the effects of pelvic irradiation for gynecological cancer on anorectal function. // Int J Radiat Oncol Biol Phys, 1996; 35:1003-1010. Yeoh E, Sun WM, Russo A, lbanez L, Horowitz M. A retrospective study of the effects of pelvic irradiation for gynecological cancer on anorectal function. // Int J Radiat Oncol Biol Phys, 1996; 35:1003-1010.
26 YOUNG-FADOK T.M. «Successful and sustained treatment of chronic radiation proctitis with antioxidant vitamins E and C». // Dis Colon Rectum, 2002; 45-50. YOUNG-FADOK T.M. «Successful and sustained treatment of chronic radiation proctitis with antioxidant vitamins E and C». // Dis Colon Rectum, 2002; 45-50.
27 Zimmermann FB, Feldmann JJ. Radiation proctitis. Clinical and pathological manifestations, therapy and prophylaxis of acute and late injurious effects of radiation on the rectal mucosa. // Strahlenther Onkol, 1998;174:85-89 . Zimmermann FB, Feldmann JJ. Radiation proctitis. Clinical and pathological manifestations, therapy and prophylaxis of acute and late injurious effects of radiation on the rectal mucosa. // Strahlenther Onkol, 1998;174:85-89 .
Опубликована
2024-03-01
Как цитировать
РОГАЛЕВ, Артём.
ПОСТЛУЧЕВОЙ РЕКТИТ У БОЛЬНЫХ РАКОМ ШЕЙКИ МАТКИ..
Новообразование, [S.l.], v. 15, n. 4, p. 40-44, мар. 2024.
ISSN 2521-117X.
Доступно на: <http://donetsk-onco.com/neoplasm/index.php/Neoplasm/article/view/494>. Дата доступа: 27 апр. 2024
Раздел
Оригинальные статьи
