Vaginal cuff brachytherapy in endometrial cancer – a technically easy treatment?
Identifieur interne : 000037 ( Main/Exploration ); précédent : 000036; suivant : 000038Vaginal cuff brachytherapy in endometrial cancer – a technically easy treatment?
Auteurs : Sebastià Sabater ; Ignacio Andres ; Veronica Lopez-Honrubia ; Roberto Berenguer ; Marimar Sevillano ; Esther Jimenez-Jimenez ; Angeles Rovirosa [Espagne] ; Meritxell Arenas [Espagne]Source :
- Cancer Management and Research [ 1179-1322 ] ; 2017.
Abstract
Endometrial cancer (EC) is one of the most common gynecological cancers among women in the developed countries. Vaginal cuff is the main location of relapses after a curative surgical procedure and postoperative radiation therapy have proven to diminish it. Nevertheless, these results have not translated into better survival results. The preeminent place of vaginal cuff brachytherapy (VCB) in the postoperative treatment of high- to intermediate-risk EC was given by the PORTEC-2 trial, which demonstrated a similar reduction in relapses with VCB than with external beam radiotherapy (EBRT), but VCB induced less late toxicity. As a result of this trial, the use of VCB has increased in clinical practice at the expense of EBRT. A majority of the clinical reviews of VCB usually address the risk categories and patient selection but pay little attention to technical aspects of the VCB procedure. Our review aimed to address both aspects. First of all, we described the risk groups, which guide patient selection for VCB in clinical practice. Then, we depicted several technical aspects that might influence dose deposition and toxicity. Bladder distension and rectal distension as well as applicator position or patient position are some of those variables that we reviewed.
Url:
DOI: 10.2147/CMAR.S119125
PubMed: 28848362
PubMed Central: 5557121
Affiliations:
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Albacete</nlm:aff><wicri:noCountry code="subfield">Albacete</wicri:noCountry></affiliation></author><author><name sortKey="Andres, Ignacio" sort="Andres, Ignacio" uniqKey="Andres I" first="Ignacio" last="Andres">Ignacio Andres</name><affiliation><nlm:aff id="af1-cmar-9-351">Department of Radiation Oncology, Complejo Hospitalario Universitario de Albacete, Albacete</nlm:aff><wicri:noCountry code="subfield">Albacete</wicri:noCountry></affiliation></author><author><name sortKey="Lopez Honrubia, Veronica" sort="Lopez Honrubia, Veronica" uniqKey="Lopez Honrubia V" first="Veronica" last="Lopez-Honrubia">Veronica Lopez-Honrubia</name><affiliation><nlm:aff id="af1-cmar-9-351">Department of Radiation Oncology, Complejo Hospitalario Universitario de Albacete, Albacete</nlm:aff><wicri:noCountry code="subfield">Albacete</wicri:noCountry></affiliation></author><author><name sortKey="Berenguer, Roberto" sort="Berenguer, Roberto" uniqKey="Berenguer R" first="Roberto" last="Berenguer">Roberto Berenguer</name><affiliation><nlm:aff id="af1-cmar-9-351">Department of Radiation Oncology, Complejo Hospitalario Universitario de Albacete, Albacete</nlm:aff><wicri:noCountry code="subfield">Albacete</wicri:noCountry></affiliation></author><author><name sortKey="Sevillano, Marimar" sort="Sevillano, Marimar" uniqKey="Sevillano M" first="Marimar" last="Sevillano">Marimar Sevillano</name><affiliation><nlm:aff id="af1-cmar-9-351">Department of Radiation Oncology, Complejo Hospitalario Universitario de Albacete, Albacete</nlm:aff><wicri:noCountry code="subfield">Albacete</wicri:noCountry></affiliation></author><author><name sortKey="Jimenez Jimenez, Esther" sort="Jimenez Jimenez, Esther" uniqKey="Jimenez Jimenez E" first="Esther" last="Jimenez-Jimenez">Esther Jimenez-Jimenez</name><affiliation><nlm:aff id="af2-cmar-9-351">Department of Radiation Oncology, Hospital Son Espases, Palma de Mallorca</nlm:aff><wicri:noCountry code="subfield">Palma de Mallorca</wicri:noCountry></affiliation></author><author><name sortKey="Rovirosa, Angeles" sort="Rovirosa, Angeles" uniqKey="Rovirosa A" first="Angeles" last="Rovirosa">Angeles Rovirosa</name><affiliation wicri:level="3"><nlm:aff id="af3-cmar-9-351">Department of Radiation Oncology, Hospital Clinic, Barcelona</nlm:aff><country>Espagne</country><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName><wicri:orgArea>Department of Radiation Oncology, Hospital Clinic</wicri:orgArea></affiliation></author><author><name sortKey="Arenas, Meritxell" sort="Arenas, Meritxell" uniqKey="Arenas M" first="Meritxell" last="Arenas">Meritxell Arenas</name><affiliation wicri:level="1"><nlm:aff id="af4-cmar-9-351">Department of Radiation Oncology, Hospital Universitari Sant Joan, Reus, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Radiation Oncology, Hospital Universitari Sant Joan, Reus</wicri:regionArea><wicri:noRegion>Reus</wicri:noRegion></affiliation></author></analytic><series><title level="j">Cancer Management and Research</title><idno type="eISSN">1179-1322</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Endometrial cancer (EC) is one of the most common gynecological cancers among women in the developed countries. Vaginal cuff is the main location of relapses after a curative surgical procedure and postoperative radiation therapy have proven to diminish it. Nevertheless, these results have not translated into better survival results. The preeminent place of vaginal cuff brachytherapy (VCB) in the postoperative treatment of high- to intermediate-risk EC was given by the PORTEC-2 trial, which demonstrated a similar reduction in relapses with VCB than with external beam radiotherapy (EBRT), but VCB induced less late toxicity. As a result of this trial, the use of VCB has increased in clinical practice at the expense of EBRT. A majority of the clinical reviews of VCB usually address the risk categories and patient selection but pay little attention to technical aspects of the VCB procedure. Our review aimed to address both aspects. First of all, we described the risk groups, which guide patient selection for VCB in clinical practice. Then, we depicted several technical aspects that might influence dose deposition and toxicity. Bladder distension and rectal distension as well as applicator position or patient position are some of those variables that we reviewed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bray, F" uniqKey="Bray F">F Bray</name></author><author><name sortKey="Loos, Ah" uniqKey="Loos A">AH Loos</name></author><author><name sortKey="Oostindier, M" uniqKey="Oostindier M">M Oostindier</name></author><author><name sortKey="Weiderpass, E" uniqKey="Weiderpass E">E Weiderpass</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferlay, J" uniqKey="Ferlay J">J Ferlay</name></author><author><name sortKey="Soerjomataram, I" uniqKey="Soerjomataram I">I Soerjomataram</name></author><author><name sortKey="Dikshit, R" uniqKey="Dikshit R">R Dikshit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Creutzberg, Cl" uniqKey="Creutzberg C">CL Creutzberg</name></author><author><name 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sortKey="Lanni, Tb" uniqKey="Lanni T">TB Lanni</name></author><author><name sortKey="Grills, Is" uniqKey="Grills I">IS Grills</name></author><author><name sortKey="Kestin, Ll" uniqKey="Kestin L">LL Kestin</name></author><author><name sortKey="Robertson, Jm" uniqKey="Robertson J">JM Robertson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Colombo, N" uniqKey="Colombo N">N Colombo</name></author><author><name sortKey="Creutzberg, C" uniqKey="Creutzberg C">C Creutzberg</name></author><author><name sortKey="Amant, F" uniqKey="Amant F">F Amant</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><noCountry><name sortKey="Andres, Ignacio" sort="Andres, Ignacio" uniqKey="Andres I" first="Ignacio" last="Andres">Ignacio Andres</name><name sortKey="Berenguer, Roberto" sort="Berenguer, Roberto" uniqKey="Berenguer R" first="Roberto" last="Berenguer">Roberto Berenguer</name><name sortKey="Jimenez Jimenez, Esther" sort="Jimenez Jimenez, Esther" uniqKey="Jimenez Jimenez E" first="Esther" last="Jimenez-Jimenez">Esther Jimenez-Jimenez</name><name sortKey="Lopez Honrubia, Veronica" sort="Lopez Honrubia, Veronica" uniqKey="Lopez Honrubia V" first="Veronica" last="Lopez-Honrubia">Veronica Lopez-Honrubia</name><name sortKey="Sabater, Sebastia" sort="Sabater, Sebastia" uniqKey="Sabater S" first="Sebastià" last="Sabater">Sebastià Sabater</name><name sortKey="Sevillano, Marimar" sort="Sevillano, Marimar" uniqKey="Sevillano M" first="Marimar" last="Sevillano">Marimar Sevillano</name></noCountry><country name="Espagne"><region name="Catalogne"><name sortKey="Rovirosa, Angeles" sort="Rovirosa, Angeles" uniqKey="Rovirosa A" first="Angeles" last="Rovirosa">Angeles Rovirosa</name></region><name sortKey="Arenas, Meritxell" sort="Arenas, Meritxell" uniqKey="Arenas M" first="Meritxell" last="Arenas">Meritxell Arenas</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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