Methodology

Intensity Modulated Radiotherapy (IMRT) in the postoperative treatment of an adenocarcinoma of the endometrium complicated by a pelvic kidney

Marcus S Castilho , Alexandre A Jacinto , Gustavo A Viani , Andre Campana , Juliana Carvalho , Robson Ferrigno , Paulo ERS Novaes , Ricardo C Fogaroli and Joao V Salvajoli

Department of Radiation Oncology, Hospital do Câncer A C Camargo, São Paulo, Brazil

author email corresponding author email

Radiation Oncology 2006, 1:44doi:10.1186/1748-717X-1-44

Published:	20 November 2006

Abstract

Background

Pelvic Radiotherapy (RT) as a postoperative treatment for endometrial cancer improves local regional control. Brachytherapy also improves vaginal control. Both treatments imply significant side effects that a fine RT technique can help avoiding. Intensity Modulated RT (IMRT) enables the treatment of the target volume while protecting normal tissue. It therefore reduces the incidence and severity of side effects.

Case

We report on a 50 year-old patient with a serous-papiliferous adenocarcinoma of the uterus who was submitted to surgical treatment without lymph node sampling followed by Brachytherapy, and Chemotherapy. The patient had a pelvic kidney, and was therefore treated with IMRT.

So far, the patient has been free from relapse and with normal kidney function.

Conclusion

IMRT is a valid technique to prevent the kidney from radiation damage.