eISSN: 2081-2841
ISSN: 1689-832X
Journal of Contemporary Brachytherapy
Current Issue Archive Supplements Articles in Press Journal Information Aims and Scope Editorial Office Editorial Board Register as Author Register as Reviewer Instructions for Authors Abstracting and indexing Subscription Advertising Information Links
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank

5/2016
vol. 8
 
Share:
Share:
abstract:
Case report

Pediatric peri-operative fractionated high-dose-rate brachytherapy for recurrent Wilms’ tumor using a reconstructed Freiburg flap

Emily Flower
,
Kathy Ngoc Tran
,
Salman Zanjani
,
Wayne Smith
,
Jonathan Karpelowsky
,
Katie Summerhayes
,
Edgar Estoesta
,
Jennifer Chard

J Contemp Brachytherapy 2016; 8, 5: 429–433
Online publish date: 2016/10/11
View full text Get citation
 
Purpose: To report peri-operative fractionated high-dose-rate (HDR) brachytherapy with a 3D customized Freiburg flap applicator to treat locally recurrent Wilms’ tumor, followed by immediate hyperthermic intraperitoneal chemotherapy for a 16-year-old with a second recurrence of nephroblastoma (Wilms’ tumor).

Material and methods: The tumor was excised and surgical bed was treated with fractionated HDR brachytherapy using a Freiburg flap applicator. Hyperthermic intraperitoneal chemotherapy was performed immediately after the removal of brachytherapy applicator.

Results: The Freiburg flap was successfully reconstructed to enable delivery of conformable peri-operative HDR brachytherapy. The clinical target volume (CTV) D90 was 26 Gy in 5 fractions.

Conclusions: Peri-operative fractionated HDR brachytherapy with a customized Freiburg flap applicator was delivered successfully across a large multi-disciplinary team.
keywords:

nephroblastoma, pediatric brachytherapy, peri-operative, Wilms tumor

 
Quick links
© 2024 Termedia Sp. z o.o.
Developed by Bentus.