Journal of Cancer Research and Therapeutics

ANALYTICAL REPORT
Year
: 2012  |  Volume : 8  |  Issue : 3  |  Page : 427--429

Adjuvant pelvic irradiation for cervical cancer in the setting of a transplanted pelvic kidney


Majid M Mohiuddin1, Usama Mahmood1, Andrea A Hall1, Neil Rosenshein2 
1 Department of Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD, USA
2 Department of Gynecological Oncology, University of Maryland School of Medicine, Baltimore, MD, USA

Correspondence Address:
Majid M Mohiuddin
Department of Radiation Oncology, University of Maryland School of Medicine, 22 S. Greene St, Baltimore, MD 21201
USA

Postoperative radiation therapy is often needed following resection for gynecological cancers. A pelvic kidney, whether ectopic or transplanted, is considered an absolute contraindication for radiation if the organ is left in place. A 45-year-old, immunosuppressed patient with FIGO IB1 cervical adenocarcinoma was treated with intensity-modulated radiation therapy (IMRT) to 45 Gy to the modified whole pelvis with a boost to 59.4 Gy to high-risk areas despite having a transplanted kidney in the right iliac fossa. The irradiation prevented further local failure in the pelvis at 36-month follow-up with no decrement in renal function. Radiation to the modified pelvis using IMRT while avoiding the renal allograft is technically feasible and should be offered to more high-risk patients.


How to cite this article:
Mohiuddin MM, Mahmood U, Hall AA, Rosenshein N. Adjuvant pelvic irradiation for cervical cancer in the setting of a transplanted pelvic kidney.J Can Res Ther 2012;8:427-429


How to cite this URL:
Mohiuddin MM, Mahmood U, Hall AA, Rosenshein N. Adjuvant pelvic irradiation for cervical cancer in the setting of a transplanted pelvic kidney. J Can Res Ther [serial online] 2012 [cited 2020 Sep 28 ];8:427-429
Available from: http://www.cancerjournal.net/article.asp?issn=0973-1482;year=2012;volume=8;issue=3;spage=427;epage=429;aulast=Mohiuddin;type=0