Department of Radiation Oncology, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
Department of Obstetrics and Gynaecology, Jubilee, Mission Medical College and Research Institute, Thrissur, Kerala, India.
J Cancer Res Ther. 2023 Jan 1;19(Suppl 2):S963-S966. doi: 10.4103/jcrt.jcrt_561_22. Epub 2023 Apr 30.
Endometriosis is a benign gynecological condition which induces a chronic inflammatory process, characterized by the presence of endometrium-like tissue outside the uterus. Treatment options for endometriosis include medical, surgical, or both. Irrespective of the treatment approach, recurrence of symptoms is not rare. We report the use of radiotherapy in a patient with recurrent refractory endometriosis, not responding to conventional treatments. At lower doses, radiotherapy can modulate the inflammatory cascade and can also does ovarian ablation. She was treated using 6MV photons with a four-field box to a total dose of 30Gy in 10 fractions. The pelvic radiotherapy field also included the ovarian remnant. Her symptoms regressed within one week of radiation treatment and is now symptom free for six months, with good quality of life.
子宫内膜异位症是一种良性妇科疾病，会引起慢性炎症过程，其特征是子宫内膜样组织出现在子宫外。子宫内膜异位症的治疗选择包括药物治疗、手术治疗或两者兼而有之。无论采用哪种治疗方法，症状的复发都并不罕见。我们报告了在一名对常规治疗无反应的复发性难治性子宫内膜异位症患者中使用放射治疗的情况。较低剂量的放射治疗可以调节炎症级联反应，还可以进行卵巢消融。我们使用 6MV 光子进行治疗，采用四野箱技术，总剂量为 30Gy，分 10 次进行。盆腔放射治疗野还包括卵巢残端。她在放射治疗后一周内症状消退，目前已经六个月无症状，生活质量良好。
