@Article{Platta2014,
journal="Journal of Contemporary Brachytherapy",
issn="1689-832X",
volume="6",
number="1",
year="2014",
title="Case reportCervical brachytherapy technique for locally advanced carcinoma of the cervix in a patient with septate uterus",
abstract=" Purpose : To describe an approach to cervical brachytherapy in a patient with congenital septate uterus and locally advanced cervical carcinoma.   Material and methods:  The patient is a 34-year-old female with septate uterus presenting with pelvic pain. Workup demonstrated a stage IIB cervical adenocarcinoma with imaging evidence of an involved right external iliac lymph node. The patient received whole pelvic radiation, with concurrent weekly cisplatin (40 mg/m 2 ), to a dose of 45 Gy in 25 fractions followed by a parametrial boost of 5.4 Gy and an additional nodal boost of 9 Gy.   Results:  The patient was initiated on cervical brachytherapy following fraction 23 of pelvic radiation. To conform to her septated uterus, a Rotte-Y tandem was used. Additionally, 2 CT-compatible ovoids were placed in the vaginal apex to enhance dose distribution and coverage of the target volume. Each fraction of brachytherapy was performed with CT-based planning. A high-risk clinical target volume (HR-CTV) and normal structures were defined and constrained per American Brachytherapy Society (ABS) and Groupe Européen de Curiethérapie/European Society for Therapeutic Radiology and Oncology (GEC-ESTRO) guidelines. The brachytherapy dose was 27.5 Gy in 5 fractions of 5.5 Gy each, prescribed to the HR-CTV.   Conclusions : Herein, we report the first documented case of cervical brachytherapy in a patient with septate uterus and locally advanced cervical carcinoma. Using CT-guided planning, in conjunction with the ABS and GEC-ESTRO guidelines, the patient was effectively treated with adapted cervical brachytherapy, meeting criteria for HR-CTV coverage and normal tissue tolerances.",
author="Platta, Christopher S.
and Wallace, Charlie
and Gondi, Vinai
and Das, Rupak
and Straub, Margaret
and Al-Niaimi, Ahmed
and Applegate, Glenn
and Bradley, Kristin A.",
pages="76--81",
doi="10.5114/jcb.2014.40768",
url="http://dx.doi.org/10.5114/jcb.2014.40768"
}