American Brachytherapy Society recurrent carcinoma of the endometrium task force patterns of care and review of the literature

Mitchell Kamrava, Sushil Beriwal, Beth Erickson, David Gaffney, Anuja Jhingran, Ann Klopp, Sang June Park, Akila Viswanathan, Catheryn Yashar, Lilie Lin

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose The purpose of this American Brachytherapy Society task force is to present a literature review and patterns of care by a panel of experts for the management of vaginal recurrence of endometrial cancer. Methods and materials In 2016, the American Brachytherapy Society Board selected a panel of experts in gynecologic brachytherapy to update our current state of knowledge for managing vaginal recurrence of endometrial cancer. Practice patterns were evaluated via an online survey and clinical updates occurred through a combination of literature review and clinical experience and/or expertise. Results There are various retrospective series of patients treated with radiation for vaginal recurrence of endometrial cancer, which include a varied group of patients, multiple treatment techniques, and a range of total doses and demonstrate a wide scope of local control and overall survival outcomes. In the era of image-guided brachytherapy, high local control rates with low significant late-term morbidities can be achieved. Lower rates of local control and higher late-term toxicity are reported in the retreatment setting. In patients with no previous history of radiation treatment, external beam radiation therapy followed by brachytherapy boost should be used. There are varying practices with regard to the definition and appropriate doses of both the high-risk clinical target volume and the intermediate-risk clinical target volume in the setting of vaginal recurrence of endometrial cancer. There are limited data to provide appropriate dose constraints for some organs at risk with the majority of guidance taken from the definitive cervical cancer literature. Conclusions A summary of literature and expert practice patterns for patient selection, dose recommendations, and constraints are provided as guidance for practitioners.

Original languageEnglish (US)
Pages (from-to)1129-1143
Number of pages15
JournalBrachytherapy
Volume16
Issue number6
DOIs
StatePublished - Nov 2017

Keywords

  • Brachytherapy
  • Endometrial cancer
  • Vaginal recurrence

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

Fingerprint Dive into the research topics of 'American Brachytherapy Society recurrent carcinoma of the endometrium task force patterns of care and review of the literature'. Together they form a unique fingerprint.

Cite this