Barros Daniela, Alvares Cecília, Alencar Teresa, Baqueiro Priscila, Marianno Augusto, Alves Rafael, Lenzi Juliana, Rezende Laura Ferreira, Lordelo Patricia
Oncology Department, Hospital Santa Izabel, Salvador 40290-000, Brazil.
Pelvic Floor Care Center (CAAP) and Postgraduate, Bahiana School of Medicine and Public Health, Salvador 40290-000, Brazil.
World J Clin Cases. 2021 Aug 16;9(23):6839-6845. doi: 10.12998/wjcc.v9.i23.6839.
Currently, the advancement cancer treatment technology improves overall survival, however, adverse events are still a challenge for health professional. Genitourinary syndrome of menopause and vaginal stenosis are conditions that impact the quality of life of patients undergoing radiotherapy. We present two such cases in patients with previous cervical and endometrial cancer. These conditions were handled with an innovative method using an energy-based device with blue light emitting diode for concomitant vaginal and vulvar irradiation. Positive impact in clinical findings, cytologic changes, and referred symptoms were documented.
One patient diagnosed with vaginal severe vaginal stenosis with previous cervix cancer treatment and other patient diagnosed with mild stenosis with severe dyspareunia and recent endometrium cancer treatment were considered for vulvovaginal treatment with weekly blue led device and closely evaluated with repeated validated questionnaires and cytological samples.
This innovative technique showed an improvement in all areas of the examiner's criteria, the cytological criteria, and most bothered symptoms.
目前，癌症治疗技术的进步提高了总体生存率，然而，不良事件对医疗专业人员来说仍是一项挑战。更年期泌尿生殖综合征和阴道狭窄会影响接受放疗患者的生活质量。我们介绍两例曾患宫颈癌和子宫内膜癌患者的此类病例。这些情况采用一种创新方法处理，即使用带蓝光发光二极管的能量型设备进行阴道和外阴同步照射。记录了对临床症状、细胞学变化及相关症状的积极影响。
一名曾接受宫颈癌治疗、诊断为严重阴道狭窄的患者，以及另一名曾接受子宫内膜癌治疗、诊断为轻度狭窄且伴有严重性交困难的患者，均采用每周一次的蓝光设备进行外阴阴道治疗，并通过反复使用经过验证的问卷和细胞学样本进行密切评估。
这项创新技术在检查标准、细胞学标准以及最困扰症状的所有方面均显示出改善。
