IMR Press / EJGO / Volume 21 / Issue 5 / pii/2000215

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Intraoperative gold grain implants for pelvic wall recurrences of various malignancies: toxicity, results, and failure analysis in 37 patients

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1 Assoc. Professor; University of Gaziantep, Sahinbey Medical Center; Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Gazianep, Turkey
2 Prof. of Gynecologic Oncology, University of Texas M.D. Anderson Cancer Center; Houston, USA
3 Prof. of Radiotherapy, University of Texas M.D. Anderson Cancer Center; Houston, Texas, USA
Eur. J. Gynaecol. Oncol. 2000, 21(5), 472–474;
Published: 10 October 2000
Abstract

Purpose: We conducted this study to determine the complications and long-term results of intraoperative gold-grain implants as therapy for pelvic wall recurrences of various malignancies. Materials and Methods: We retrospectively analyzed complications and long-term results of intraoperative radioactive 198Au goldgrain implants of 4-mc radon equivalent in 37 patients with pelvic wall recurrences of various malignancies treated at the Univer­sity of Texas M. D. Anderson Cancer Center. The estimated dose was 30-100 Gy, which was increased to 100-120 Gy plus exter­nal-beam irradiation if the dose to the tumor volume was too low. All patients had follow-up of 4 months to 12 years. Of the 37 patients, 34 had lower leg edema, 22 had lower limb pain, and 22 had ureteral obstruction. Results: Six of 34 patients with lower limb pain had partial relief and nine had complete relief. Of 22 patients with ureteral obstruction, ten had complete resolution and four had partial relief. Lower limb edema was improved in 16 of 22 patients. Of the 37 patients studied, 14 are alive and 23 have died. Conclusion: In selected patients, gold grain implantation to a dose of 70-100 Gy relieved some symptoms of unresectable pelvic wall recurrences of various malignancies. We believe that intraoperative gold grain implants appear to be the only useful treatment for patients with recurrent malignancies fixed to the pelvic wall and provide these patients with better and longer palliation and a good quality of life.

Keywords
Gold grain implant
Pelvic wall recurrence
Cancer
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