S Laframboise1, M Milosevic, N Leyland. 1. Division of Gynecology Oncology, Princess Margaret Hospital, Toronto, Ontario, M5G 2M9, Canada.
Abstract
OBJECTIVE: The use of a combined treatment option for endometrial cancer in a medically compromised patient is outlined. METHODS/ RESULTS: A case of a 49-year-old severely medically compromised patient with endometrial cancer is described. A complete hysteroscopic endometrial resection with insertion and suturing in place of an endocervical cannula allowed weekly outpatient delivery of high-dose-rate intracavitary radiation without anesthetic or repeat dilatation of the endocervical canal. CONCLUSION: The use of hysteroscopic endometrial resection with adjuvant high-dose-rate radiation therapy is a feasible treatment option for patients with endometrial cancer in whom surgery is contraindicated. Copyright 1999 Academic Press.
OBJECTIVE: The use of a combined treatment option for endometrial cancer in a medically compromised patient is outlined. METHODS/ RESULTS: A case of a 49-year-old severely medically compromised patient with endometrial cancer is described. A complete hysteroscopic endometrial resection with insertion and suturing in place of an endocervical cannula allowed weekly outpatient delivery of high-dose-rate intracavitary radiation without anesthetic or repeat dilatation of the endocervical canal. CONCLUSION: The use of hysteroscopic endometrial resection with adjuvant high-dose-rate radiation therapy is a feasible treatment option for patients with endometrial cancer in whom surgery is contraindicated. Copyright 1999 Academic Press.