Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney

Castilho, Marcus Simões; Jacinto, Alexandre Arthur; Viani, Gustavo Arruda; Campana, Andre; Carvalho, José Murilo de; Ferrigno, Robson; Novaes, Priscila; Fogaroli, R.C.; Salvajoli, João Víctor

doi:10.1186/1748-717x-1-44

Cited by 8 publications

(4 citation statements)

References 15 publications

(17 reference statements)

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“…have reported a case of carcinoma of endometrium treated with adjuvant IMRT and the follow up renal evaluation was shown to be normal [22] . The observations made in this study are different from that of the previous studies but, the range of associated anomalies is the same.…”

Section: Discussionmentioning

confidence: 99%

Unexpected encounters challenging modified radical hysterectomy

Shanmugam¹,

Hussain²,

Kumar³

2019

Int. J. Clin. Obstet. Gynaecol.

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The intention of this study is to educate and caution young surgeons about the possibility of stumbling into anatomical anomaly while operating for cancer cervix. Methods: This is an observational study, reflecting the numbers of congenital anomalies that were encountered while doing hysterectomy for cancer cervix in a tertiary care hospital within a 16 years span. Results: This study revealed the overall prevalence of congenital anomalies while performing hysterectomy for cancer cervix to be 2.9% and double ureter to be most common anomaly encounterd. Conclusion: Anatomical anomalies pose challenges when encountered while operating for cancer cervix. Surgical methods and dissections need to be planned accordingly to protect urinary pathways and vessels, that should be kept in mind particularly by low volume surgeons. Surgery can be disastrous if they is not recognized prior to procedure.

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Section: Discussionmentioning

confidence: 99%

Unexpected encounters challenging modified radical hysterectomy

Shanmugam¹,

Hussain²,

Kumar³

2019

Int. J. Clin. Obstet. Gynaecol.

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“…10 Castilho et al treated a postoperative case of carcinoma of the endometrium with pelvic kidney with a dose of 45 Gy using IMRT. 11 Two-thirds of the ectopic kidney received 21 Gy and one-third received 31 Gy. The patient suffered no recurrence or side effects to either kidney at 18 months.…”

Section: Discussionmentioning

confidence: 99%

Locally advanced carcinoma of the cervix associated with pelvic kidney treated with intensity‐modulated radiotherapy: Overcoming a therapeutic challenge

Kashyap

Gandhi

Pandey

et al. 2016

J of Obstet and Gynaecol

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The simultaneous occurrence of carcinoma of the cervix and pelvic kidney is rare. As the pelvic kidney occupies the conventional radiation portal for carcinoma of the cervix, treatment of these patients with radiation presents a therapeutic challenge. A 48-year-old stage IIIB cervical carcinoma patient with an incidental diagnosis of pelvic kidney was treated with radical chemoradiotherapy using intensity-modulated radiotherapy with concurrent weekly cisplatin, followed by intracavitary radiotherapy. The bilateral kidney dose was restricted within a tolerance limit of 16.6 Gy. At the 18-month follow-up, the patient was disease free and had no deterioration in kidney function. Intensity-modulated radiotherapy provided the necessary means for delivering radical radiation doses in this case scenario with adequate sparing of the kidney.

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“…[7] Castilho et al reported in 2006 the first use of IMRT for an endometrial cancer patient with a congenital pelvic kidney. [8] Seven co-planar fields covered 95% of the whole pelvis and lymphatics to 45 Gy. The ectopic kidney was centrally located in the pelvis at the level of the sacro-iliac joints.…”

Section: Discussionmentioning

confidence: 99%

Adjuvant pelvic irradiation for cervical cancer in the setting of a transplanted pelvic kidney

et al. 2012

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Postoperative radiation therapy is often needed following resection for gynecological cancers. A pelvic kidney, whether ectopic or transplanted, is considered an absolute contraindication for radiation if the organ is left in place. A 45-year-old, immunosuppressed patient with FIGO IB1 cervical adenocarcinoma was treated with intensity-modulated radiation therapy (IMRT) to 45 Gy to the modified whole pelvis with a boost to 59.4 Gy to high-risk areas despite having a transplanted kidney in the right iliac fossa. The irradiation prevented further local failure in the pelvis at 36-month follow-up with no decrement in renal function. Radiation to the modified pelvis using IMRT while avoiding the renal allograft is technically feasible and should be offered to more high-risk patients.

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Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney

Cited by 8 publications

References 15 publications

Unexpected encounters challenging modified radical hysterectomy

Unexpected encounters challenging modified radical hysterectomy

Locally advanced carcinoma of the cervix associated with pelvic kidney treated with intensity‐modulated radiotherapy: Overcoming a therapeutic challenge

Adjuvant pelvic irradiation for cervical cancer in the setting of a transplanted pelvic kidney

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