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May-2018 Volume 15 Issue 5

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Case Report

Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report

  • Authors:
    • Naoya Ishibashi
    • Toshiya Maebayashi
    • Takuya Aizawa
    • Masakuni Sakaguchi
    • Takehiro Nakao
    • Masahiro Okada
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, Nihon University School of Medicine, Tokyo 173‑8610, Japan, Department of Obstetrics and Gynecology, Nihon University School of Medicine, Tokyo 173‑8610, Japan
  • Pages: 7273-7278
    |
    Published online on: March 6, 2018
       https://doi.org/10.3892/ol.2018.8179
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Abstract

Brachytherapy is a standard treatment modality for locally advanced cervical cancer. In patients with uterine anomalies, the radiation dose to the target volume and the organs at risk can vary depending on the positioning of the brachytherapy tandem implant. However, there have been few reports concerning the use of brachytherapy in patients with uterine anomalies. The present study reports the case of a 55‑year‑old woman with locally advanced squamous cell carcinoma of the cervix and complete septate uterus. The patient was treated with external‑beam radiation therapy, cisplatin chemotherapy, and brachytherapy. Computed tomography‑based planning was performed for image‑guided brachytherapy with the tandem implant alternately in the right and left uterine canals and using the right and left point A. A comparison of the resulting dose‑volume histograms revealed wide variations in the projected dose to the clinical target volume and organs at risk. Tandem implant positioning for brachytherapy was chosen to optimize the dose‑volume distribution. At the point of writing, the patient has not experienced local recurrence.
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Copy and paste a formatted citation
Spandidos Publications style
Ishibashi N, Maebayashi T, Aizawa T, Sakaguchi M, Nakao T and Okada M: Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report. Oncol Lett 15: 7273-7278, 2018.
APA
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., & Okada, M. (2018). Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report. Oncology Letters, 15, 7273-7278. https://doi.org/10.3892/ol.2018.8179
MLA
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., Okada, M."Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report". Oncology Letters 15.5 (2018): 7273-7278.
Chicago
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., Okada, M."Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report". Oncology Letters 15, no. 5 (2018): 7273-7278. https://doi.org/10.3892/ol.2018.8179
Copy and paste a formatted citation
x
Spandidos Publications style
Ishibashi N, Maebayashi T, Aizawa T, Sakaguchi M, Nakao T and Okada M: Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report. Oncol Lett 15: 7273-7278, 2018.
APA
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., & Okada, M. (2018). Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report. Oncology Letters, 15, 7273-7278. https://doi.org/10.3892/ol.2018.8179
MLA
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., Okada, M."Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report". Oncology Letters 15.5 (2018): 7273-7278.
Chicago
Ishibashi, N., Maebayashi, T., Aizawa, T., Sakaguchi, M., Nakao, T., Okada, M."Brachytherapy for cervical cancer in septate uterus: Dose-volume differences with tandem implant placement in right vs. left uterine canal: A case report". Oncology Letters 15, no. 5 (2018): 7273-7278. https://doi.org/10.3892/ol.2018.8179
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