Bilateral radical radiotherapy in a patient with uterus didelphys.
We report a case of congenital abnormality of uterus didelyphys in a patient who developed invasive carcinoma of the cervix. She received radical radiotherapy by a combination of external beam pelvic radiotherapy and high dose rate brachytherapy by insertion of afterloading catheters into both uterine canals. A newly defined prescription point was used midway between the two catheters and 2 cm above the mean cervical os position. The classical point A was regarded as inappropriate in this patient with a rare condition. Acute toxicity was minor and the patient is tumour free with no significant normal tissue late effects after follow-up of nearly 3 years.
Lee
C D
CD
Clatterbridge Centre for Oncology, Wirral, Merseyside, UK.
Churn
M
M
Haddad
N
N
Davies-Humphries
J
J
Kingston
R K
RK
Jones
B
B
D001918:Brachytherapy / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy*; D014599:Uterus / Q000002:abnormalities*; D002578:Uterine Cervical Dysplasia / Q000532:radiotherapy*