Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles

Open Access

Case Report

EJMCR. 2021; 5(7): 222-225

Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali.

Background: Treatment of locally advanced endometrial cancer in patients with transplanted pelvic kidney requires precautions because of its anatomical position next to target volumes.
Case Presentation: We report a case of 42-year-old woman with a right renal transplant for 3 years diagnosed with endometrial cancer for which she underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy. Adjuvant Radiotherapy (RT) was planned through intensity modulated RT (IMRT) with 45 Gy in 25 fractions followed by vaginal brachytherapy (5 Gy 2 sessions) . Planning with IMRT quantified a mean dose of 2 Gy and maximum dose of 10 Gy over the transplanted kidney. This dose was further reduced with a comparative plan of three-dimensional conformal RT (3DCRT), recording a mean dose of 1 Gy and maximum dose of 5 Gy to the transplanted kidney. 3DCRT plan was accepted and delivered. At 2-year follow-up, patient is disease free with normal renal function.
Conclusion: In the presence of advanced techniques, 3DCRT is still a valid radiation technique to keep the critical organ dose under acceptable dose-volume constraints without compromising the target volume.

Key words: Renal transplant, endometrium carcinoma, 3DCRT, IMRT, case report

Similar Articles

Neonatal Transplant in Hypoxic Injury.
Zheng T, Weiss MD
Methods in molecular biology (Clifton, N.J.). 2022; 2389(): 155-164

Lectin Affinity Chromatography for the Discovery of Novel Cancer Glycobiomarkers: A Case Study with PSA Glycoforms and Prostate Cancer.
Llop E, Peracaula R
Methods in molecular biology (Clifton, N.J.). 2022; 2370(): 301-313

Functional and immunological peculiarities of peripheral nerve allografts.
Roballo KCS, Gigley JP, Smith TA, Bittner GD, Bushman JS
Neural regeneration research. 2022; 17(4): 721-727

Metastatic atypical renal tumour with metanephric characteristics treated with Sunitinib.
Mohammad H, Madsen K, Graumann O, Loya AC, Jensen NV, Dahlrot RH
Urology case reports. 2022; 40(): 101880

Upper tract urothelial carcinoma presenting at a bifurcation of a partially duplicated left ureter: A minimally invasive approach.
Sarver J, Memo M
Urology case reports. 2022; 40(): 101879

Full-text options

Latest Statistics about COVID-19
• pubstat.org

Add your Article(s) to Indexes
• citeindex.org

Covid-19 Trends and Statistics
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.

ScopeMed Web Sites