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对于宫颈癌、子宫内膜癌及卵巢癌经过初始治疗后局部孤立的复发病灶,手术切除联合术中放疗可以提高疾病的局部控制率,联合体外放射治疗,可以进一步改善患者的预后。术中放疗后最常见的并发症是神经病变,尤其当放疗剂量>20 Gy时。即使行术中放疗,手术切缘仍然是与预后相关的重要因素。
For cervical cancer, endometrial cancer and ovarian cancer after initial treatment of local isolated recurrent lesions, surgical resection combined with intraoperative radiotherapy can improve the local control of the disease, combined with external beam radiotherapy, can further improve the prognosis of patients. The most common complication after intraoperative radiotherapy is neuropathy, especially when radiotherapy doses> 20 Gy. Even with intraoperative radiotherapy, surgical margins are still important prognostic factors.