Table 2 Cases of cervical/vaginal cancer in patients with uterine prolapse treated by radiation therapy
Patient | Age (years) | Clinical stage (FIGO) | Histology | Prolapse before RT | EBRT field and dose | BT technique and dose | Surgery after RT | RFS (months) | Reference |
|---|---|---|---|---|---|---|---|---|---|
1 | 60 | IIIB | Large-cell nonkeratinizing squamous cell carcinoma | Reduced under sedation before RT | 50 Gy | None | None | 2 | 8 |
2 | 73 | IIA | W/D keratinizing squamous cell carcinoma | Irreducible | Pelvis 52.2 Gy | Intracavitary HDR 7.5 Gy × 3 | Vaginal hysterectomy | 60 | 9 |
3 | 72 | IIA2 | W/D squamous cell carcinoma | Reduced utilizing pessary before RT | Whole pelvis 45 Gy | Intracavitary tandem and ovoids HDR 6 Gy × 5 | None | 15 | 10 |
4 | 78 | I | Keratinizing squamous cell carcinoma | Not reduced | None | interstitial HDR 6 Gy × 14 | None | 3 | our case |