ACUTE RADIATION TOXICITY AFTER CONCURRENT CHEMORADIOTHERAPY IN PATIENTS WITH LOCALY ADVANCED CERVICAL CANCER

  • Marija N Živković Radojević Center for Oncology and Radiology, Clinical Centre Kragujevac, Kragujevac, Serbia University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
  • Vesna Plesinac Karapandzić Institute for Oncology and Radiology, Belgrade, Serbia University of Belgrade, Faculty of Medicine, Belgrade, Serbia
  • Aleksandar Tomašević Institute for Oncology and Radiology, Belgrade, Serbia
  • Neda Milosavljević Center for Oncology and Radiology, Clinical Centre Kragujevac, Kragujevac, Serbia
  • Marko Folić Clinical Pharmacology Department, Clinical Centre Kragujevac, Kragujevac, Serbia University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
Keywords: risk factors, acute radiation toxicity, locally advanced cervical cancer,

Abstract


Cervical cancer takes an alarming 4th place among tumors in women and is a serious global problem of modern society. The gold standard in the treatment of locally advanced cervical cancer is based on concurrent chemoradiotherapy (external beam in combination with brachy-therapy). However, during the treatment of cervical cancer, various forms of acute toxicity can occur, with the incidence of up to 84%. The most common adverse manifestations of this therapeutic approach include various hema-tologic, gastrointestinal, genitourinary and dermatologic problems.

Although most of the potential risk factors for acute radiation toxicity are primarily asso-ciated with certain features of therapeutic moda¬lities, individual patient characteristics must also be taken into account. Knowledge of potential risk factors and early detection of patients with increased risk of acute radiation toxicity may significantly contribute to the administration of adequate corrective measures in order to prevent the occurrence of both acute and chronic toxicity, which is even more complex. Such an approach also leads to improvement of the quality of life of patients with locally advanced cervical cancer.

 

Author Biographies

Marija N Živković Radojević, Center for Oncology and Radiology, Clinical Centre Kragujevac, Kragujevac, Serbia University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
MD
Vesna Plesinac Karapandzić, Institute for Oncology and Radiology, Belgrade, Serbia University of Belgrade, Faculty of Medicine, Belgrade, Serbia
MD, PhD, Professor
Aleksandar Tomašević, Institute for Oncology and Radiology, Belgrade, Serbia
MD
Neda Milosavljević, Center for Oncology and Radiology, Clinical Centre Kragujevac, Kragujevac, Serbia
MD, PhD
Marko Folić, Clinical Pharmacology Department, Clinical Centre Kragujevac, Kragujevac, Serbia University of Kragujevac, Faculty of Medical Sciences, Kragujevac, Serbia
MD, PhD, Professor

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Published
2019/02/17
Section
Review Paper