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Oct 10, 2023Keywords:
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Stage IIB Carcinoma of the Uterine Cervix in a Patient with Bilateral Pelvic Kidneys: A Radiotherapeutic Challenge
Abstract
Background: The occurrence of invasive cervical cancer in a patient with a congenital pelvic kidney is a rare clinical condition that complicates the use of external beam radiotherapy to the pelvis for cervical cancer because the kidney(s) lies within the radiation field a situation associated with risk of radiation injury, nephritis and malignant hypertension.
Objectives: To report a case of a lady with stage 2B cancer of the cervix who has bilateral pelvic kidneys.
Case: A case of 45-year old para 6 lady with stage 2B cancer of the cervix and a bilateral pelvic kidney, she was managed with external beam radiotherapy (box technique), brachytherapy and chemotherapy. The pelvic kidneys were shielded from the radiation beam appropriately. Six years after treatment she was free of locoregional recurrence and distant metastasis, her blood pressure and renal function were normal.
Conclusion: Chemoradiotherapy was offered to this patient after shielding of the pelvic kidneys. All patients with cancer of the cervix or pelvic tumours should have a thorough abdominopelvic examination before treatment to rule out and prevent unintended radiation injury to the kidney(s).
