Henry Ford Hospital Medical Journal


A technique for treating the para-aortic nodes to a high dose of irradiation in continuity with the pelvis has been developed at Henry Ford Hospital and recently described by one of the authors. The "nine-field technique" was initially used in late 1973 to treat two patients with advanced prostatic carcinoma who had grossly involved para-aortic nodes. Since that time, 16 additional patients with carcinoma of the prostate, one patient with carcinoma of the urinary bladder, and one patient with carcinoma of the cervix have been treated by this technique. This paper analyzes sequelae and complications of the technique and mentions preliminary results. The authors conclude that the technique is well tolerated. Larger numbers of patients and longer follow-up are necessary before conclusions on the efficacy of this technique can be meaningfully analyzed, but some preliminary observations are made.