Cervical Cancer With Vaginal Recurrence and Prior Pelvic Radiation

A 71-year-old woman with significant medical history of uncontrolled diabetes and multiple myocardial infarctions presented with postmenopausal bleeding and was diagnosed with Federation of Gynecology and Obstetrics stage IIB mesonephric adenocarcinoma of the cervix. The patient proceeded with definitive chemoradiation, 45 Gy in 25 fractions daily external beam radiation to the whole pelvis with concurrent weekly cisplatin, followed by iridium 192 high-dose-rate tandem and ovoid intracavitary brachytherapy boosts, 5.5 Gy for 5 fractions twice weekly to high-risk clinical target volume.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Tags: Gray Zone Source Type: research