Abstract：
PURPOSE:To present recommendations for the use of interstitial brachytherapy in patients with vaginal cancer or recurrent endometrial cancer in the vagina. METHODS:A panel of members of the American Brachytherapy Society reviewed the literature, supplemented that with their clinical experience, and formulated recommendations for interstitial brachytherapy for primary or recurrent cancers in the vagina. RESULTS:Patients with bulky disease (approximately >0.5cm thick) should be considered for treatment with interstitial brachytherapy. The American Brachytherapy Society reports specific recommendations for techniques, target volume definition, and dose-fractionation schemes. Three-dimensional treatment planning is recommended with CT scan and/or MRI. The treatment plan should be optimized to conform to the clinical target volume and should reduce the dose to critical organs, including the rectum, bladder, urethra, and sigmoid colon. Suggested doses in combination with external beam radiation therapy and summated equivalent doses in 2Gy fractions are tabulated. CONCLUSION:Recommendations are made for interstitial brachytherapy for vaginal cancer and recurrent disease in the vagina. Practitioners and cooperative groups are encouraged to use these recommendations to formulate treatment and dose-reporting policies. Such a process will result in meaningful outcome comparisons, promote technical advances, and lead to appropriate utilization of these techniques.
journal_name
Brachytherapyjournal_title
Brachytherapyauthors
Beriwal S,Demanes DJ,Erickson B,Jones E,De Los Santos JF,Cormack RA,Yashar C,Rownd JJ,Viswanathan AN,American Brachytherapy Society.doi
10.1016/j.brachy.2011.06.008subject
Has Abstractpub_date
2012-01-01 00:00:00pages
68-75issue
1eissn
1538-4721issn
1873-1449pii
S1538-4721(11)00349-7journal_volume
11pub_type
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