Four quality indices including conformity index CI , dose homogeneity index, dose nonuniformity index, and overdose index were compared. Two patients already had the largest cylinder inserted and repositioning did not reduce air gaps to within the 2-mm tolerance. The distance was measured from the surface of the cylinder to the point of maximum displacement by a single observer. The impact of these on dosimetry and applicability of the TG formalism in the presence of air has been assessed. During the time frame of 12 years and in patients the method has proven to have a low risk of acute complications and an acceptable risk of long-term side effects. Bladder distension and rectal distension as well as applicator position or patient position are some of those variables that we reviewed.
Adjuvant vaginal brachytherapy as a part of management in early endometrial cancer
Moreover, 15 of 17 vaginal recurrences were salvaged with median observation time of 61 months [ 13 , 14 ]. Women were randomized to systematic pelvic lymphadenectomy patients or no lymph nodes removal patients. The cylinder was printed on a Fortus mc Stratasys Ltd. Patient 2 was a year-old woman with vaginal cuff recurrence of stage IA grade 1 endometrioid endometrial cancer who had initially undergone total abdominal hysterectomy and bilateral salpingo-oophorectomy showing inner half myometrial invasion, grade 1 disease, and no lymphovascular invasion, who subsequently developed a vaginal cuff recurrence one year later and was treated with whole pelvis external beam radiotherapy to a dose of 45 Gy, followed by vaginal cuff brachytherapy to a dose of 15 Gy over three fractions to the surface. Danish Endometrial Cancer Group studied adjuvant radiotherapy in all endometrial cancer patients from to
The present study has several limitations. Tumor diameter could be evaluated intraoperatively with frozen section of uterus to predict nodal involvement [ 9 — 11 ]. Moreover, 15 of 17 vaginal recurrences were salvaged with median observation time of 61 months [ 13 , 14 ]. Postoperative pelvic radiotherapy was compared to no additional treatment in intermediate-risk endometrial cancer.