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Adjuvant Therapy In Uterine Sarcomas

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ADJUVANT THERAPY IN UTERINE SARCOMAS Dr. T. Sujit A M O ( Radiation Oncology ) Valavadi Narayanaswami Cancer Centre, G.Kuppuswamy Naidu MemorialHospital, Coimbatore - 641037, Tamilnadu, India May 2007
PROGNOSTIC FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PATTERNS OF FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADJUVANT MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADJUVANT MANAGEMENT ,[object Object],PALN + ve PALN - ve Consider Pelvic RT and/or Vaginal brachytherapy and/or Chemotherapy Consider whole abdominopelvic RT ( except LMS ) Chemo Chest CT ± biopsy scalene nodes Whole abdominopelvic RT or Pelvic and para-aortic RT or Chemotherapy or - VE + VE
ADJUVANT MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RADIOTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
E B R T ,[object Object]
BRACHYTHERAPY NORMAN SIMON APPLICATORS
BRACHYTHERAPY ,[object Object]
POST – OP BRACHYTHERAPY ,[object Object],AFTER 45 – 50 Gy EBRT: 5 -6 Gy x 3 fractions for HDR or 15 Gy in a single fraction for LDR
CHEMOTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HORMONE THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object]
T h a n k y o u

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Adjuvant Therapy In Uterine Sarcomas

  • 1. ADJUVANT THERAPY IN UTERINE SARCOMAS Dr. T. Sujit A M O ( Radiation Oncology ) Valavadi Narayanaswami Cancer Centre, G.Kuppuswamy Naidu MemorialHospital, Coimbatore - 641037, Tamilnadu, India May 2007
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