Evaluating the Incidence Rate of an Accelerated Short Course High Dose Rate Intravaginal Brachytherapy Complications in Patients with Endometrial Cancer
| Autor: | Zakieh Vesgari Kiasari, Farnaz Amouzegar Hashemi, Sepand Moalej, Afsaneh Maddah Safaei, Sepideh Mansouri, Mahdi Aghili, Bita Kalaghchi, Soraya Gholami |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Urinary system medicine.medical_treatment Brachytherapy Rectum Iran medicine Humans Short course Adverse effect Radiation Injuries business.industry Endometrial cancer Incidence Common Terminology Criteria for Adverse Events Dose-Response Relationship Radiation General Medicine Middle Aged medicine.disease Prognosis Surgery Endometrial Neoplasms Accelerated short course high dose rate brachytherapy- complications- endometrial cancer- organ at risk medicine.anatomical_structure Vagina Female business Follow-Up Studies Research Article |
| Zdroj: | Asian Pacific Journal of Cancer Prevention : APJCP |
| ISSN: | 2476-762X |
| Popis: | Background: Brachytherapy in treatment of endometrial cancer patients is growing and therefore, evaluation of more feasible schedule has become of great importance. The purpose of current study was to evaluate the complications of accelerated short course high dose rate intravaginal brachytherapy (HDR IVB), a new brachytherapy approach which is a more feasible treatment option in developing countries. Method: From 2017 to 2018, 54 patients diagnosed with endometrial cancer and FIGO stages IA to IIB who underwent total abdominal hysterectomy with a bilateral salpingo-oophorectomy were enrolled in present study. They were treated with a total dose of 25 Gy in 5 fractions which was prescribed daily. A dose of 5 Gy was prescribed at a depth of 0.5 cm in the upper third and middle third of vagina. Adverse effects related to organs at risk consist of bladder, vagina and rectum were documented based on the Common Terminology Criteria for Adverse Events v3.0 (CTCAE v3.0). Results: The accelerated short course HDR IVB was well tolerated and no grade 3 or higher toxicities was reported for patients during the follow up period. There were no chronic rectal toxicities and only one patient showed chronic urinary toxicities. However, the incidence rate of vaginal toxicities at the end of 4-month and 8-month follow up periods was higher than acute toxicities and significantly lower in elderly group compared to younger group. Conclusion: Overall, the accelerated HDR IVB was safe and was well tolerated in endometrial cancer patients and the incidence rate of undue complications were equal, if not less, in elderly patients compared to the younger ones. |
| Databáze: | OpenAIRE |
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