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Cancer of the cervix or uterus ,[object Object],[object Object],[object Object]
 
 
Cross section anatomy of the female pelvis
Cross section anatomy of the female pelvis rectum
CT Scans may be useful in showing cancer
1. Ovary, 2. Endometrial Cancer, 3. Uterus, 4. Urinary Bladder, 5. Rectum, 6. Vagina   E ndometrial cancer – adenocarcinoma of the lining of the uterus
Uterine cancer can spread to lymph nodes
Lymph Nodes
 
 
Guidelines for the use of radiation after a hysterectomy
Treatment of E ndometrial cancer For most stages surgery (hysterectomy) is performed and  postOp radiation  is indicated for high risk features: ,[object Object],[object Object],[object Object],[object Object]
Cancer of the cervix – squamous carcinoma (occasionally adenocarcinoma) uterus Cervix cancer
Cervix cancer stages
 
 
Treatment of cervix cancer ,[object Object],[object Object]
CT scan is obtained at the time of simulation CT images are then imported into the treatment planning computer
In the simulation process the CT and PET scan images are used to create a computer plan
In the treatment the lasers are used to line up the beam and the patient receives the radiation treatment
Radiation for advanced cervix cancer
Tomotherapy for Advanced Cervix Cancer
Radiation for gynecologic cancers ,[object Object],[object Object],[object Object]
Internal radiation devices
Radiation Fields and Side Effects Pelvic field Para-aortic  Node field
Side Effects of Pelvic Radiation Radiation fields Radiation may hit the bowel causing some more bowel frequency, cramps, diarrhea and fatigue
Side Effects of Pelvic Radiation Radiation fields Radiation may hit the bladder and rectum causing urinary burning or frequency and rectal irritation Patients may benefit from Imodium, cranberry juice, skin creams and rectal ointments
Radiation prescription for # Diagnosis: # External radiation: #  Internal radiation: #

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