We read with great interest the work by Small Jr. et al. (
[1]
) about the outcomes of uterine perforations during cervical cancer brachytherapy
procedure. Perforation was associated with increased risk of acute infection (13.6%
versus 3.0% if no uterine perforation, p = 0.04). The local infections resolved without further complications or treatment
delays. No increase in long-term complications or recurrence-free survival was detected.
Taken in conjunction, these findings reassure that observation approach is safe after
perforation if the patient remained asymptomatic.To read this article in full you will need to make a payment
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References
- Uterine perforation during brachytherapy for cervical cancer: complications, outcomes, and best practices for forward treatment planning and management.Brachytherapy. 2021; 20: 557-564
- A phase III randomized trial of trans-abdominal ultrasound in improving application quality and dosimetry of intra-cavitary brachytherapy in locally advanced cervical cancer.Gynecol Oncol. 2021; 160: 375-378
- Decrease in uterine perforations with ultrasound image-guided applicator insertion in intracavitary brachytherapy for cervical cancer: a systematic review and meta-analysis.Gynecol Oncol. 2018; 151: 573-578
- Prevention of uterine perforation during intracavitary brachytherapy of cervical cancer.J Contemp Brachyther. 2021; 13: 167-171
- Radiation therapy for cervical cancer: executive summary of an ASTRO clinical practice guideline.Pract Radiat Oncol. 2020; 10: 220-234
Article info
Publication history
Published online: December 31, 2021
Accepted:
July 16,
2021
Received:
July 11,
2021
Identification
Copyright
© 2021 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.
