Case Report

Volume: 5 | Issue: 7 | Published: Jul 02, 2021 | Pages: 222 - 225 | DOI: 10.24911/ejmcr/173-1615803452

Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report


Authors: Rabia Tahseen , Agha Muhammad Hammad Khan , Yumna Ahmed , Nasir Ali


Article Info

Authors

Rabia Tahseen

Aga Khan University Hospital, Karachi, Pakistan

Agha Muhammad Hammad Khan

Aga Khan University Hospital, Karachi, Pakistan

Yumna Ahmed

Aga Khan University Hospital, Karachi, Pakistan

Nasir Ali

Aga Khan University Hospital, Karachi, Pakistan

Publication History

Received: March 18, 2021

Revised: June 12, 2021

Accepted: June 15, 2021

Published: July 02, 2021


Abstract


Background: Treatment of locally advanced endometrial cancer in patients with transplanted pelvic kidney requires precautions because of its anatomical position next to target volumes. Case Presentation: We report a case of 42-year-old woman with a right renal transplant for 3 years diagnosed with endometrial cancer for which she underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy. Adjuvant Radiotherapy (RT) was planned through intensity modulated RT (IMRT) with 45 Gy in 25 fractions followed by vaginal brachytherapy (5 Gy × 2 sessions) . Planning with IMRT quantified a mean dose of 2 Gy and maximum dose of 10 Gy over the transplanted kidney. This dose was further reduced with a comparative plan of three-dimensional conformal RT (3DCRT), recording a mean dose of 1 Gy and maximum dose of 5 Gy to the transplanted kidney. 3DCRT plan was accepted and delivered. At 2-year follow-up, patient is disease free with normal renal function. Conclusion: In the presence of advanced techniques, 3DCRT is still a valid radiation technique to keep the critical organ dose under acceptable dose-volume constraints without compromising the target volume.

Keywords: Renal transplant, endometrium carcinoma, 3DCRT, IMRT, case report, green


Pubmed Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. EJMCR. 2021; 02 (July 2021): 222-225. doi:10.24911/ejmcr/173-1615803452

Web Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. https://ejmcr.com/articles/1307 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1615803452

AMA (American Medical Association) Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. EJMCR. 2021; 02 (July 2021): 222-225. doi:10.24911/ejmcr/173-1615803452

Vancouver/ICMJE Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. EJMCR. (2021), [cited December 25, 2024]; 02 (July 2021): 222-225. doi:10.24911/ejmcr/173-1615803452

Harvard Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali (2021) Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. EJMCR, 02 (July 2021): 222-225. doi:10.24911/ejmcr/173-1615803452

Chicago Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. "Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report." 02 (2021), 222-225. doi:10.24911/ejmcr/173-1615803452

MLA (The Modern Language Association) Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali. "Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report." 02.July 2021 (2021), 222-225. Print. doi:10.24911/ejmcr/173-1615803452

APA (American Psychological Association) Style

Rabia Tahseen, Agha Muhammad Hammad Khan, Yumna Ahmed, Nasir Ali (2021) Adjuvant radiotherapy for endometrial cancer in a renal transplant patient - a case report. , 02 (July 2021), 222-225. doi:10.24911/ejmcr/173-1615803452