title: Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney.
abstract: 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.
authors.affiliation: Department of Radiation Oncology, Hospital do Câncer A C Camargo, São Paulo, Brazil. mscastilho@gmail.com
authors.forename: Marcus S
authors.initials: MS
authors.lastname: Castilho
authors.forename: Alexandre A
authors.initials: AA
authors.lastname: Jacinto
authors.forename: Gustavo A
authors.initials: GA
authors.lastname: Viani
authors.forename: Andre
authors.initials: A
authors.lastname: Campana
authors.forename: Juliana
authors.initials: J
authors.lastname: Carvalho
authors.forename: Robson
authors.initials: R
authors.lastname: Ferrigno
authors.forename: Paulo E R S
authors.initials: PE
authors.lastname: Novaes
authors.forename: Ricardo C
authors.initials: RC
authors.lastname: Fogaroli
authors.forename: Joao V
authors.initials: JV
authors.lastname: Salvajoli
mesh_terms: 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