Consensus statement for brachytherapy for the treatment of medically inoperable endometrial cancer

Julie K. Schwarz, Sushil Beriwal, Jacqueline Esthappan, Beth Erickson, Colleen Feltmate, Anthony Fyles, David Gaffney, Ellen Jones, Ann Klopp, William Small, Bruce Thomadsen, Catheryn Yashar, Akila Viswanathan

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this consensus statement from the American Brachytherapy Society (ABS) is to summarize recent advances and to generate general guidelines for the management of medically inoperable endometrial cancer patients with radiation therapy. Methods: Recent advances in the literature were summarized and reviewed by a panel of experts. Panel members participated in a series of conference calls and were surveyed to determine their current practices and patterns. This document was reviewed and approved by the full panel, the ABS Board of Directors and the ACR Commission on Radiation Oncology. Results: A transition from two-dimensional (2D) to three-dimensional (3D) treatment planning for the definitive treatment of medically inoperable endometrial cancer is described. Magnetic resonance (MR) imaging can be used to define the gross tumor volume (GTV), clinical target volume (CTV), and the organs at risk (OARs). Brachytherapy alone can be used for medically inoperable endometrial cancer patients with clinical Stage I cancer with no lymph node involvement and no evidence of deep invasion of the myometrium on MR imaging. In the absence of MR imaging, a combined approach using external beam and brachytherapy may be considered. Conclusions: Recent advances support the use of MR imaging and 3D planning for brachytherapy treatment for medically inoperable endometrial cancer.

Original languageEnglish (US)
Pages (from-to)587-599
Number of pages13
JournalBrachytherapy
Volume14
Issue number5
DOIs
StatePublished - Sep 1 2015

Keywords

  • Brachytherapy
  • Endometrial carcinoma
  • Magnetic resonance imaging

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

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    Schwarz, J. K., Beriwal, S., Esthappan, J., Erickson, B., Feltmate, C., Fyles, A., Gaffney, D., Jones, E., Klopp, A., Small, W., Thomadsen, B., Yashar, C., & Viswanathan, A. (2015). Consensus statement for brachytherapy for the treatment of medically inoperable endometrial cancer. Brachytherapy, 14(5), 587-599. https://doi.org/10.1016/j.brachy.2015.06.002