Palliation of recurrent endometriosis with radiotherapeutic ablation of ovarian remnants.

Abstract:

OBJECTIVE:To review the use of radiotherapy for relieving the symptoms of recurrent endometriosis caused by functioning ovarian remnants. DESIGN:Retrospective study (case report). PATIENT(S):A woman with recurrent endometriosis of 14 years' duration. INTERVENTION(S):After hysterectomy and bilateral oophorectomy, hormonal management, and multiple explorations for recurrent endometriosis, cycling ovarian remnants were confirmed histologically. Pelvic irradiation was used to ablate this tissue. A dose of 15 Gy in 10 daily fractions was given through anterior and posterior opposed fields using 18-mV photons. RESULT(S):The patient had a prompt increase in FSH levels associated with castration levels of serum E2. A review of the literature on the use of radiotherapy in this clinical situation is presented. CONCLUSION(S):Radiotherapy should be considered in selected patients when ovarian castration is not a viable surgical option and hormonal therapies have failed.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Thomas WW Jr,Hughes LL,Rock J

doi

10.1016/s0015-0282(97)00342-7

subject

Has Abstract

pub_date

1997-11-01 00:00:00

pages

938-40

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015028297003427

journal_volume

68

pub_type

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