Prabhu Arpan V, Schad Michael D, Burnett Alexander F, Lewis Gary D
Department of Radiation Oncology, University of Arkansas for Medical Sciences, UAMS Winthrop P. Rockefeller Cancer Institute, Little Rock, Arkansas, United States.
University of Pittsburgh School of Medicine, Pennsylvania, United States.
Rep Pract Oncol Radiother. 2021 Jun 9;26(3):457-462. doi: 10.5603/RPOR.a2021.0057. eCollection 2021.
Endometriosis is typically managed with a medical or surgical approach, though some patients have medically refractory disease and are poor surgical candidates.
A 39-year-old woman presented to our facility with uncontrolled bleeding and pain from an endometriotic mass at the vaginal cuff. She had a history of abdominal hysterectomy with bilateral salpingo-oophorectomy, now with medically refractive and inoperable disease due to prior history of vesicovaginal fistula. We prescribed 30 Gy in 10 fractions with 10 MV and 18 MV photons to the target. At follow-up our patient reported a complete resolution of bleeding and pelvic pain.
Radiation treatment can be an effective treatment for refractory endometriosis.
子宫内膜异位症通常采用药物或手术治疗，不过有些患者患有药物难治性疾病且不适合手术。
一名39岁女性因阴道残端子宫内膜异位肿块导致出血和疼痛无法控制前来我院就诊。她有腹部子宫切除术及双侧输卵管卵巢切除术史，现因既往膀胱阴道瘘病史患有药物难治性且无法手术的疾病。我们用10兆伏和18兆伏光子对靶区给予10次分割共30戈瑞的照射。随访时，我们的患者报告出血和盆腔疼痛完全缓解。
放射治疗对于难治性子宫内膜异位症可能是一种有效的治疗方法。
