Stereotactic body radiotherapy as an alternative to brachytherapy in gynecologic cancer.

Introduction. Brachytherapy plays a key role in the treatment of many gynecologic cancers. However, some patients are unable to tolerate brachytherapy for medical or other reasons. For these patients, stereotactic body radiotherapy (SBRT) offers an alternative form of treatment. Methods. Retrospecti...

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Publicado en:BioMed Research International Vol. 2013; pp. 898953 - 898954
Autores principales: Kubicek, Gregory J, Xue, Jinyu, Xu, Qianyi, Asbell, Sucha O, Hughes, Leslie, Kramer, Noel, Youssef, Ashraf, Chen, Yan, Aikens, James, Saul, Howard, Pahlajani, Niraj, Lacouture, Tamara
Formato: research Journal Article
Publicado: Wiley-Blackwell 2013
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Stereotactic body radiotherapy as an alternative to brachytherapy in gynecologic cancer.
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          Kubicek, Gregory J
          Xue, Jinyu
          Xu, Qianyi
          Asbell, Sucha O
          Hughes, Leslie
          Kramer, Noel
          Youssef, Ashraf
          Chen, Yan
          Aikens, James
          Saul, Howard
          Pahlajani, Niraj
          Lacouture, Tamara
        affil: Department of Radiation Oncology, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, USA.
      sug:
        subj:
          Brachytherapy Methods
          Genital Neoplasms, Female Therapy
          Radiosurgery Methods
          Aged
          Aged, 80 and Over
          Female
          Human
          Middle Age
          Radiation Dosage
          Retrospective Design
          Treatment Outcomes
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
      ab: Introduction. Brachytherapy plays a key role in the treatment of many gynecologic cancers. However, some patients are unable to tolerate brachytherapy for medical or other reasons. For these patients, stereotactic body radiotherapy (SBRT) offers an alternative form of treatment. Methods. Retrospective review of patients prospectively collected on SBRT database is conducted. A total of 11 gynecologic patients who could not have brachytherapy received SBRT for treatment of their malignancies. Five patients have been candidates for interstitial brachytherapy, and six have required tandem and ovoid brachytherapy. Median SBRT dose was 25 Gy in five fractions. Results. At last followup, eight patients were alive, and three patients had died of progressive disease. One patient had a local recurrence. Median followup for surviving patients was 420 days (median followup for all patients was 120 days). Two patients had acute toxicity (G2 dysuria and G2 GI), and one patient had late toxicity (G3 GI, rectal bleeding requiring cauterization). Conclusions. Our data show acceptable toxicity and outcome for gynecologic patients treated with SBRT who were unable to receive a brachytherapy boost. This treatment modality should be further evaluated in a phase II study.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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