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Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding
BACKGROUND: Endometriosis is typically managed with a medical or surgical approach, though some patients have medically refractory disease and are poor surgical candidates. CASE PRESENTATION: A 39-year-old woman presented to our facility with uncontrolled bleeding and pain from an endometriotic mass...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Via Medica
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281906/ https://www.ncbi.nlm.nih.gov/pubmed/34277101 http://dx.doi.org/10.5603/RPOR.a2021.0057 |
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author | Prabhu, Arpan V. Schad, Michael D. Burnett, Alexander F. Lewis, Gary D. |
author_facet | Prabhu, Arpan V. Schad, Michael D. Burnett, Alexander F. Lewis, Gary D. |
author_sort | Prabhu, Arpan V. |
collection | PubMed |
description | BACKGROUND: Endometriosis is typically managed with a medical or surgical approach, though some patients have medically refractory disease and are poor surgical candidates. CASE PRESENTATION: A 39-year-old woman presented to our facility with uncontrolled bleeding and pain from an endometriotic mass at the vaginal cuff. She had a history of abdominal hysterectomy with bilateral salpingo-oophorectomy, now with medically refractive and inoperable disease due to prior history of vesicovaginal fistula. We prescribed 30 Gy in 10 fractions with 10 MV and 18 MV photons to the target. At follow-up our patient reported a complete resolution of bleeding and pelvic pain. CONCLUSION: Radiation treatment can be an effective treatment for refractory endometriosis. |
format | Online Article Text |
id | pubmed-8281906 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Via Medica |
record_format | MEDLINE/PubMed |
spelling | pubmed-82819062021-07-16 Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding Prabhu, Arpan V. Schad, Michael D. Burnett, Alexander F. Lewis, Gary D. Rep Pract Oncol Radiother Case Report BACKGROUND: Endometriosis is typically managed with a medical or surgical approach, though some patients have medically refractory disease and are poor surgical candidates. CASE PRESENTATION: A 39-year-old woman presented to our facility with uncontrolled bleeding and pain from an endometriotic mass at the vaginal cuff. She had a history of abdominal hysterectomy with bilateral salpingo-oophorectomy, now with medically refractive and inoperable disease due to prior history of vesicovaginal fistula. We prescribed 30 Gy in 10 fractions with 10 MV and 18 MV photons to the target. At follow-up our patient reported a complete resolution of bleeding and pelvic pain. CONCLUSION: Radiation treatment can be an effective treatment for refractory endometriosis. Via Medica 2021-06-09 /pmc/articles/PMC8281906/ /pubmed/34277101 http://dx.doi.org/10.5603/RPOR.a2021.0057 Text en © 2021 Greater Poland Cancer Centre https://creativecommons.org/licenses/by-nc-nd/4.0/This article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) license, allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially |
spellingShingle | Case Report Prabhu, Arpan V. Schad, Michael D. Burnett, Alexander F. Lewis, Gary D. Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title | Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title_full | Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title_fullStr | Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title_full_unstemmed | Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title_short | Radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
title_sort | radiation treatment for refractory endometriosis: a 38-year-old female presenting with vaginal bleeding |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8281906/ https://www.ncbi.nlm.nih.gov/pubmed/34277101 http://dx.doi.org/10.5603/RPOR.a2021.0057 |
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