eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
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3/2015
vol. 7
 
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abstract:

Case reports
High-dose-rate brachytherapy – a novel treatment approach for primary clear cell adenocarcinoma of male urethra

Shirley Lewis
,
Mahendra Pal
,
Ganesh Bakshi
,
Yogesh G. Ghadi
,
Santosh Menon
,
Vedang Murthy
,
Umesh Mahantshetty

J Contemp Brachytherapy 2015; 7, 3: 248-251
Online publish date: 2015/06/15
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The incidence of male urethral cancer is rare with age preponderance of 50 to 60 years. The standard management approach is surgery. Here, we present a novel treatment approach for male urethral cancer. Thirty-six year old male, case of primary clear cell adenocarcinoma of urethra who refused surgery, underwent cystoscopic assisted intraluminal HDR brachytherapy. Patient received a dose of 36 Gy in 9 fractions (4 Gy per fraction) followed by a boost of 24 Gy in 6 fractions. At 11 months post treatment, disease is well controlled with no post treatment toxicity so far. Intraluminal brachytherapy seems to be an effective novel treatment for male urethral cancer.
keywords:

adenocarcinoma, HDR brachytherapy, intraluminal brachytherapy, urethral cancer

 
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