本文对很晚期妇癌采用全盆腔大剂量1000拉得姑息照射的一组病例进行分析。1954到1975年8月间,美国休斯敦Anderson医院和肿瘤研究所对111例很晚期妇癌进行这样的治疗。其中宫颈癌77人;卵巢癌14人;子宫内膜癌11人;阴道癌6人,宫颈残端癌3人。这组病人中45人只接受一次1000拉得的照射,43人接受二次照射;23人接受三次。二次照射的间隔通常是4周。组织学分类75人为鳞状细胞癌,32例为腺癌,4例为混合间皮肉瘤。病人年龄从23岁到99岁,26%超过70岁。全部病人局部病变已经很晚,27人入院时已有远处转移,通过淋巴造影和/或剖腹探查,50%病人有髂总和/或主动脉旁淋巴结转移,通过静脉肾盂造影,发现43%病人有不同 This article analyzes a group of cases of very advanced gynecologic cancer using a full pelvic large dose of 1000 palliative irradiation. From 1954 to August 1975, 111 patients with very advanced gynecological cancer were treated with the Anderson Hospital and Cancer Institute in Houston, USA. There were 77 cervical cancers, 14 ovarian cancers, 11 endometrial cancers, 6 vaginal cancers, and 3 cervical stump cancers. Of the patients in this group, 45 received only 1000 pulls, 43 received the second shot, and 23 received three times. The interval between re-irradiations is usually 4 weeks. The histological classification included 75 cases of squamous cell carcinoma, 32 cases of adenocarcinoma, and 4 cases of mixed mesothelioma. The patient’s age ranged from 23 to 99 and 26% was over 70. All patients had local lesions very late. 27 patients had distant metastases when they were admitted to hospital. Via lymphography and/or laparotomy, 50% of patients had total orbital and/or aortic lymph node metastases. By intravenous pyelography, 43% of patients were found. There are different