Abstract
This report describes a simple brachytherapy procedure in a patient with endometrial cancer with age related hyperkyphosis. Sixty-eight year-old postmenopausal woman with age related hyperkyphosis presented with endometrial carcinoma, and the patient was not operated on due to associated pelvic deformity. The patient received whole pelvic radiation followed by uterovaginal brachytherapy. Patient was supported with soft pillows to support her exaggerated anterior concavity during brachytherapy procedure and execution. The brachytherapy dose was 6 Gy per fraction per week for 3 weeks using image guidance. This is probably the first reported case of endometrial cancer with age related hyperkyphosis. In spite of the associated skeletal problems, a simple brachytherapy procedure is possible and provides good result.
Highlights
Endometrial cancer is the most common female genital malignancy worldwide.[1]
At 6 months post treatment, the patient is on regular follow up and there is no evidence of loco regional disease
Follow up Magnetic Resonance Imaging (MRI) revealed a reduction in the thickness of endometrium from 26 to 8 mm and complete disappearance of parametrial lymph node
Summary
Endometrial cancer is the most common female genital malignancy worldwide.[1]. In India it is the 2nd most common female genital tract malignancy.[2]. External beam radiotherapy In her pre radiation assessment, the patient had hip flexion deformity as a result of her aforementioned condition, due to which the patient was unable to lie down in supine position for prolonged periods of time.
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