Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney.
BACKGROUND
Pelvic Radiotherapy (RT) as a postoperative treatment for endometrial cancer improves local regional control. Brachytherapy also improves vaginal control. Both treatments imply significant side effects that a fine RT technique can help avoiding. Intensity Modulated RT (IMRT) enables the treatment of the target volume while protecting normal tissue. It therefore reduces the incidence and severity of side effects.


METHODS
We report on a 50 year-old patient with a serous-papiliferous adenocarcinoma of the uterus who was submitted to surgical treatment without lymph node sampling followed by Brachytherapy, and Chemotherapy. The patient had a pelvic kidney, and was therefore treated with IMRT.So far, the patient has been free from relapse and with normal kidney function.


CONCLUSIONS
IMRT is a valid technique to prevent the kidney from radiation damage.
Castilho
Marcus S
MS
Department of Radiation Oncology, Hospital do Câncer A C Camargo, São Paulo, Brazil. mscastilho@gmail.com
Jacinto
Alexandre A
AA
Viani
Gustavo A
GA
Campana
Andre
A
Carvalho
Juliana
J
Ferrigno
Robson
R
Novaes
Paulo E R S
PE
Fogaroli
Ricardo C
RC
Salvajoli
Joao V
JV
D000230:Adenocarcinoma / Q000532:radiotherapy* / Q000601:surgery*; D001918:Brachytherapy / Q000379:methods; D016889:Endometrial Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology; D008875:Middle Aged; D011184:Postoperative Period; D011880:Radiotherapy Planning, Computer-Assisted; D050397:Radiotherapy, Intensity-Modulated / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000528:radiation effects