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The British Journal of Radiology, Vol 73, Issue 869 553-556, Copyright © 2000 by British Institute of Radiology

ARTICLES

Bilateral radical radiotherapy in a patient with uterus didelphys

CD Lee, M Churn, N Haddad, J Davies-Humphries, RK Kingston and B Jones
Clatterbridge Centre for Oncology, Wirral, Merseyside, UK.

We report a case of congenital abnormality of uterus didelyphys in a patient who developed invasive carcinoma of the cervix. She received radical radiotherapy by a combination of external beam pelvic radiotherapy and high dose rate brachytherapy by insertion of afterloading catheters into both uterine canals. A newly defined prescription point was used midway between the two catheters and 2 cm above the mean cervical os position. The classical point A was regarded as inappropriate in this patient with a rare condition. Acute toxicity was minor and the patient is tumour free with no significant normal tissue late effects after follow-up of nearly 3 years.




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