Hysteroscopic endometrial resection and high-dose-rate brachytherapy: treatment of endometrial cancer in a medically compromised patient.
OBJECTIVE
The use of a combined treatment option for endometrial cancer in a medically compromised patient is outlined.


RESULTS
A case of a 49-year-old severely medically compromised patient with endometrial cancer is described. A complete hysteroscopic endometrial resection with insertion and suturing in place of an endocervical cannula allowed weekly outpatient delivery of high-dose-rate intracavitary radiation without anesthetic or repeat dilatation of the endocervical canal.


CONCLUSIONS
The use of hysteroscopic endometrial resection with adjuvant high-dose-rate radiation therapy is a feasible treatment option for patients with endometrial cancer in whom surgery is contraindicated.
Laframboise
S
S
Division of Gynecology Oncology, Princess Margaret Hospital, Toronto, Ontario, M5G 2M9, Canada.
Milosevic
M
M
Leyland
N
N
D000230:Adenocarcinoma / Q000628:therapy*; D001918:Brachytherapy; D003131:Combined Modality Therapy; D016889:Endometrial Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D011879:Radiotherapy Dosage