Image-guided gynecological brachytherapy: first experience in a radiotherapy service. Case report

Juan C. Pari-Salas; Alberto E. Gonzáles-Ccoscco; Digna C. Santos-Flores; Verónica del Rosario Quispe-Charaja; Albert Bedregal-Cruz

doi:10.24875/j.gamo.23000064

Image-guided gynecological brachytherapy: first experience in a radiotherapy service. Case report

Título traducido de la contribución: Braquiterapia ginecológica guiada por imágenes: primera experiencia en un servicio de radioterapia. Reporte de caso

Juan C. Pari-Salas, Alberto E. Gonzáles-Ccoscco, Digna C. Santos-Flores, Verónica del Rosario Quispe-Charaja, Albert Bedregal-Cruz

Producción científica: Artículo Científico › Artículo original › revisión exhaustiva

Resumen

Brachytherapy has undeniable role in cervical cancer treatment. As image-guided brachytherapy can be done with computed tomography (CT). We report our first CT-guided brachytherapy case. A 62-year patient with IIIC1 stage received chemotherapy and chemoradiotherapy, 50.4 Gy/28 fractions with central protection (CP) last six fractions. Four brachytherapy applications were done.There were issues in reporting the dose, because CP, dose to 90% of high risk clinical target volume was 85.9 Gy, and organ at risk doses were within the constraints. At 3 months, the patient is alive and well, with mild abdominal pain. It is feasible, with few resources, to advance from 2D to 3D CT-guided brachytherapy.

Título traducido de la contribución	Braquiterapia ginecológica guiada por imágenes: primera experiencia en un servicio de radioterapia. Reporte de caso
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	74-81
-	8
Publicación	Gaceta Mexicana de Oncologia
Volumen	23
DOI	https://doi.org/10.24875/j.gamo.23000064
Estado	Indizado - jun. 2024
Publicado de forma externa	Sí

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© Sociedad Mexicana de Oncología.

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@article{531b1ae78ea0486b8cc6650dedeb6680,

title = "Image-guided gynecological brachytherapy: first experience in a radiotherapy service. Case report",

abstract = "Brachytherapy has undeniable role in cervical cancer treatment. As image-guided brachytherapy can be done with computed tomography (CT). We report our first CT-guided brachytherapy case. A 62-year patient with IIIC1 stage received chemotherapy and chemoradiotherapy, 50.4 Gy/28 fractions with central protection (CP) last six fractions. Four brachytherapy applications were done.There were issues in reporting the dose, because CP, dose to 90\% of high risk clinical target volume was 85.9 Gy, and organ at risk doses were within the constraints. At 3 months, the patient is alive and well, with mild abdominal pain. It is feasible, with few resources, to advance from 2D to 3D CT-guided brachytherapy.",

keywords = "Brachytherapy, Cancer, Case report, Cervix, Computed tomography",

author = "Pari-Salas, \{Juan C.\} and Gonz{\'a}les-Ccoscco, \{Alberto E.\} and Santos-Flores, \{Digna C.\} and \{del Rosario Quispe-Charaja\}, Ver{\'o}nica and Albert Bedregal-Cruz",

note = "Publisher Copyright: {\textcopyright} Sociedad Mexicana de Oncolog{\'i}a.",

year = "2024",

month = jun,

doi = "10.24875/j.gamo.23000064",

language = "American English",

volume = "23",

pages = "74--81",

journal = "Gaceta Mexicana de Oncologia",

issn = "1665-9201",

publisher = "Permanyer Publications",

}

TY - JOUR

T1 - Image-guided gynecological brachytherapy

T2 - first experience in a radiotherapy service. Case report

AU - Pari-Salas, Juan C.

AU - Gonzáles-Ccoscco, Alberto E.

AU - Santos-Flores, Digna C.

AU - del Rosario Quispe-Charaja, Verónica

AU - Bedregal-Cruz, Albert

N1 - Publisher Copyright: © Sociedad Mexicana de Oncología.

PY - 2024/6

Y1 - 2024/6

N2 - Brachytherapy has undeniable role in cervical cancer treatment. As image-guided brachytherapy can be done with computed tomography (CT). We report our first CT-guided brachytherapy case. A 62-year patient with IIIC1 stage received chemotherapy and chemoradiotherapy, 50.4 Gy/28 fractions with central protection (CP) last six fractions. Four brachytherapy applications were done.There were issues in reporting the dose, because CP, dose to 90% of high risk clinical target volume was 85.9 Gy, and organ at risk doses were within the constraints. At 3 months, the patient is alive and well, with mild abdominal pain. It is feasible, with few resources, to advance from 2D to 3D CT-guided brachytherapy.

AB - Brachytherapy has undeniable role in cervical cancer treatment. As image-guided brachytherapy can be done with computed tomography (CT). We report our first CT-guided brachytherapy case. A 62-year patient with IIIC1 stage received chemotherapy and chemoradiotherapy, 50.4 Gy/28 fractions with central protection (CP) last six fractions. Four brachytherapy applications were done.There were issues in reporting the dose, because CP, dose to 90% of high risk clinical target volume was 85.9 Gy, and organ at risk doses were within the constraints. At 3 months, the patient is alive and well, with mild abdominal pain. It is feasible, with few resources, to advance from 2D to 3D CT-guided brachytherapy.

KW - Brachytherapy

KW - Cancer

KW - Case report

KW - Cervix

KW - Computed tomography

UR - https://www.scopus.com/pages/publications/85198116284

U2 - 10.24875/j.gamo.23000064

DO - 10.24875/j.gamo.23000064

M3 - Original Article

AN - SCOPUS:85198116284

SN - 1665-9201

VL - 23

SP - 74

EP - 81

JO - Gaceta Mexicana de Oncologia

JF - Gaceta Mexicana de Oncologia

ER -

Image-guided gynecological brachytherapy: first experience in a radiotherapy service. Case report

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