Abstract
Postoperative radiation therapy is often needed following resection for gynecological cancers. A pelvic kidney, whether ectopic or transplanted, is considered an absolute contraindication for radiation if the organ is left in place. A 45-year-old, immunosuppressed patient with FIGO IB1 cervical adenocarcinoma was treated with intensity-modulated radiation therapy (IMRT) to 45 Gy to the modified whole pelvis with a boost to 59.4 Gy to high-risk areas despite having a transplanted kidney in the right iliac fossa. The irradiation prevented further local failure in the pelvis at 36-month follow-up with no decrement in renal function. Radiation to the modified pelvis using IMRT while avoiding the renal allograft is technically feasible and should be offered to more high-risk patients.
Original language | English (US) |
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Pages (from-to) | 427-429 |
Number of pages | 3 |
Journal | Journal of Cancer Research and Therapeutics |
Volume | 8 |
Issue number | 3 |
DOIs | |
State | Published - Jul 2012 |
Keywords
- Adjuvant pelvic radiation
- Immunosuppression
- Intensity-modulated radiation therapy
- Kidney transplant
ASJC Scopus subject areas
- Oncology
- Radiology Nuclear Medicine and imaging