title: FIGO IVB (para-aortic lymph adenopathy) squamous cell carcinoma of uterine cervix associated with a left pelvic kidney: a therapeutic challenge.
abstract: The standard of care for locally advanced carcinoma of uterine cervix is concurrent chemoradiation therapy followed by intracavitary brachytherapy, when there is para-aortic lymphadenopathy, radiation field needs to be extended to para-aortic region. In the latter case dose limiting organs are spinal cord, kidneys and small intestine. We present a challenging case of FIGO IVB squamous cell carcinoma of cervix and a pelvic kidney. This patient received chemoradiation to pelvis and para-aortic field, brachytherapy was not performed as patient already had undergone attempted hysterectomy. Treatment, outcome and challenges encountered in this case are presented and literature is reviewed.
authors: Department of Radiation Oncology, Aga Khan University Hospital, Karachi, Pakistan. nasir.ali@aku.edu
authors: Nasir
authors: N
authors: Ali
authors: Farrok
authors: F
authors: Karsan
authors: Ahmed Nadeem
authors: AN
authors: Abbasi
authors: Zakaur Rehman
authors: ZR
authors: Khan
mesh_terms: D000230:Adenocarcinoma / Q000628:therapy*; D002294:Carcinoma, Squamous Cell / Q000628:therapy*; D059248:Chemoradiotherapy; D003131:Combined Modality Therapy; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008197:Lymph Node Excision; D008206:Lymphatic Diseases / Q000628:therapy*; D008207:Lymphatic Metastasis; D008875:Middle Aged; D064847:Multimodal Imaging; D010220:Para-Aortic Bodies; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D002583:Uterine Cervical Neoplasms / Q000628:therapy*