Brachy in Tricky Situations: A Trans Perineal Interstitial Implant in a Case of Carcinoma Cervix Co-occurring with Uterine Didelphys
DOI:
https://doi.org/10.14738/bjhr.1302.20185Keywords:
uterine diadelphys, transperineal interstitial implant, brachytherapy, cervix cancer, uterine malformationAbstract
A 43 year old lady with an uterine anomaly was diagnosed to have FIGO stage II B -HPV associated poorly differentiated cervix adenocarcinoma. She has a bicornuate unicolis uterus -class U3b, subclass C0, subclass V0 as per ESHRE/ESGE classification system of female genital anomalies.Post 50 Gy of chemo radiotherapy to the pelvis, her peculiar anatomical configuration posed a challenge for delivering HDR brachytherapy boost. We decided to proceed with a transperineal interstitial implant & achieved a total EqD2 of 80 Gy to HRCTV. The target coverage was achieved with 11 needles held up by Syed Neblett template guided by transrectal ultrasound [TRUS]. Interstitial implant using TRUS is a safe technique in a resource limited setting allowing an image guided approach for brachytherapy. Patient is on follow up since 2 years with no evidence of disease.
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Copyright (c) 2026 Tasneem Rushdi, N V N Madhusudhana Sresty, T. Subramanyeshwar Rao, Srilatha Sreera, Niharika Aaduru
This work is licensed under a Creative Commons Attribution 4.0 International License.
