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