Weerarathna Induni N, Uke Ashish, Jules Manishimwe, Dahake Shweta B, Luharia Anurag
Biomedical Sciences, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Radiation Oncology, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 30;16(7):e65775. doi: 10.7759/cureus.65775. eCollection 2024 Jul.
The case report details the adaptive radiotherapy management of a 75-year-old female diagnosed with high-grade endometrial carcinoma. The patient, who was known to be hypertensive with no other comorbidities and no family history of cancer, presented with a complaint of bleeding per vagina for six months. Following extensive investigations, she underwent a laparoscopic radical hysterectomy. Postoperative histopathology confirmed endometrial adenocarcinoma International Federation of Gynecology and Obstetrics (FIGO) stage IA, grade III. The adjuvant treatment plan included adjuvant chemoradiotherapy to the postoperative tumor bed and draining lymph nodes. On planning computed tomography (CT), the patient's lymphocele responded remarkably to radiation therapy, an unusual outcome that underscores the potential efficacy of adaptive radiotherapy in complex cases.
该病例报告详细介绍了一名75岁女性高级别子宫内膜癌的自适应放射治疗管理情况。该患者已知患有高血压，无其他合并症，且无癌症家族史，因阴道出血六个月前来就诊。经过广泛检查后，她接受了腹腔镜根治性子宫切除术。术后组织病理学证实为国际妇产科联盟（FIGO）IA期、III级子宫内膜腺癌。辅助治疗方案包括对术后肿瘤床和引流淋巴结进行辅助放化疗。在计划计算机断层扫描（CT）时，患者的淋巴囊肿对放射治疗反应显著，这一不寻常的结果突出了自适应放射治疗在复杂病例中的潜在疗效。
