title: Bilateral radical radiotherapy in a patient with uterus didelphys.
abstract: 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.
authors.affiliation: Clatterbridge Centre for Oncology, Wirral, Merseyside, UK.
authors.forename: C D
authors.initials: CD
authors.lastname: Lee
authors.forename: M
authors.initials: M
authors.lastname: Churn
authors.forename: N
authors.initials: N
authors.lastname: Haddad
authors.forename: J
authors.initials: J
authors.lastname: Davies-Humphries
authors.forename: R K
authors.initials: RK
authors.lastname: Kingston
authors.forename: B
authors.initials: B
authors.lastname: Jones
mesh_terms: 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*