Korean J Women Health Nurs.  2023 Dec;29(4):257-262. 10.4069/kjwhn.2023.12.11.

Nursing care for women with gynecologic cancer receiving radiotherapy: current updates

Affiliations
  • 1Department of Nursing, Ewha Womans University Mokdong Hospital, Seoul, Korea


Figure

  • Figure 1. (A) Particle vs. photon beam dose penetration. (B) Particle vs. photon beam dose distribution. Source: Ministry of Health and Welfare (https://www.mohw.go.kr/synap/doc.html?fn=20070410094312467018_1.hwp&rs=/upload/result/202312/).

  • Figure 2. (A) Diagram showing the positions of the tandem and ovoid in the uterus and vagina from the front. Source: About Cancer (https://www.aboutcancer.com/intracavitary_radiation_treatments.htm). (B) Anterior-posterior treatment planning X-ray of the tandem and ovoid applicator. (C) Typical anterior-posterior isodose distributions of a high-dose-rate tandem and ovoid applicator.

  • Figure 3. Comparison of the cervix before and after radiotherapy. (A) Cervical cancer IIb, pre-radiotherapy. (B) Five months after radiotherapy (external beam radiotherapy [50.4 Gy]+high-dose-rate brachytherapy [24 Gy]).

  • Figure 4. Vaginal dilator.


Reference

References

1. Radiation Medicine Webzine. Status of radiotherapy in 2019 [Internet]. Seoul: The Korea Institute of Radiological Medical Sciences; 2022 [cited 2023 Nov 1]. Available from: https://www.rmwebzine.re.kr/newshome/mtnmain.php?mtnkey=articleview&mkey=scatelist&mkey2=71&aid=6573.
2. Datta NR, Stutz E, Liu M, Rogers S, Klingbiel D, Siebenhüner A, et al. Concurrent chemoradiotherapy vs. radiotherapy alone in locally advanced cervix cancer: a systematic review and meta-analysis. Gynecol Oncol. 2017; 145(2):374–385. https://doi.org/10.1016/j.ygyno.2017.01.033.
Article
3. Wang Y, Deng W, Li N, Neri S, Sharma A, Jiang W, et al. Combining immunotherapy and radiotherapy for cancer treatment: current challenges and future directions. Front Pharmacol. 2018; 9:185. https://doi.org/10.3389/fphar.2018.00185.
Article
4. Alterio D, D'Ippolito E, Vischioni B, Fossati P, Gandini S, Bonora M, et al. Mixed-beam approach in locally advanced nasopharyngeal carcinoma: IMRT followed by proton therapy boost versus IMRT-only. Evaluation of toxicity and efficacy. Acta Oncol. 2020; 59(5):541–548. https://doi.org/10.1080/0284186X.2020.1730001.
Article
5. Kim N, Noh JM, Lee W, Park B, Park H, Park JY, et al. Proton beam therapy reduces the risk of severe radiation-induced lymphopenia during chemoradiotherapy for locally advanced non-small cell lung cancer: a comparative analysis of proton versus photon therapy. Radiother Oncol. 2021; 156:166–173. https://doi.org/10.1016/j.radonc.2020.12.019.
Article
6. Durante M, Parodi K. Radioactive beams in particle therapy: past, present, and future. Front Phys. 2020; 8:00326. https://doi.org/10.3389/fphy.2020.00326.
Article
7. Glaser SM, Mohindra P, Mahantshetty U, Beriwal S. Complications of intracavitary brachytherapy for gynecologic cancers and their management: a comprehensive review. Brachytherapy. 2021; 20(5):984–994. https://doi.org/10.1016/j.brachy.2020.11.011.
Article
8. Lucia F, Miranda O, Schick U, Bourbonne V, Duvergé L. Dose escalation by brachytherapy for gynecological cancers. Cancer Radiother. 2022; 26(6-7):905–910. https://doi.org/10.1016/j.canrad.2022.07.008.
Article
9. Kim YA, Yang MS, Park M, Choi MG, Kim SY, Kim YJ. Brachytherapy utilization rate and effect on survival in cervical cancer patients in Korea. J Gynecol Oncol. 2021; 32(6):e85. https://doi.org/10.3802/jgo.2021.32.e85.
Article
10. Viswanathan AN, Lee LJ, Eswara JR, Horowitz NS, Konstantinopoulos PA, Mirabeau-Beale KL, et al. Complications of pelvic radiation in patients treated for gynecologic malignancies. Cancer. 2014; 120(24):3870–3883. https://doi.org/10.1002/cncr.28849.
Article
11. Trotti A, Colevas AD, Setser A, Rusch V, Jaques D, Budach V, et al. CTCAE v3.0: development of a comprehensive grading system for the adverse effects of cancer treatment. Semin Radiat Oncol. 2003; 13(3):176–181. https://doi.org/10.1016/S1053-4296(03)00031-6.
Article
12. Yu C, Zhu W, Ji Y, Guo J, Pan P, Han J, et al. A comparative study of intensity-modulated radiotherapy and standard radiation field with concurrent chemotherapy for local advanced cervical cancer. Eur J Gynaecol Oncol. 2015; 36(3):278–282.
13. McCaughan H, Boyle S, McGoran JJ. Update on the management of the gastrointestinal effects of radiation. World J Gastrointest Oncol. 2021; 13(5):400–408. https://doi.org/10.4251/wjgo.v13.i5.400.
Article
14. Linn YH, Thu KK, Win NH. Effect of probiotics for the prevention of acute radiation-induced diarrhoea among cervical cancer patients: a randomized double-blind placebo-controlled study. Probiotics Antimicrob Proteins. 2019; 11(2):638–647. https://doi.org/10.1007/s12602-018-9408-9.
Article
15. Araujo IK, Muñoz-Guglielmetti D, Mollà M. Radiation-induced damage in the lower gastrointestinal tract: Clinical presentation, diagnostic tests and treatment options. Best Pract Res Clin Gastroenterol. 2020; 48-49:101707. https://doi.org/10.1016/j.bpg.2020.101707.
Article
16. Stacey R, Green JT. Radiation-induced small bowel disease: latest developments and clinical guidance. Ther Adv Chronic Dis. 2014; 5(1):15–29. https://doi.org/10.1177/2040622313510730.
Article
17. Chuang YC, Kim DK, Chiang PH, Chancellor MB. Bladder botulinum toxin A injection can benefit patients with radiation and chemical cystitis. BJU Int. 2008; 102(6):704–706. https://doi.org/10.1111/j.1464-410X.2008.07740.x.
Article
18. Fink D, Chetty N, Lehm JP, Marsden DE, Hacker NF. Hyperbaric oxygen therapy for delayed radiation injuries in gynecological cancers. Int J Gynecol Cancer. 2006; 16(2):638–642. https://doi.org/10.1111/j.1525-1438.2006.00388.x.
Article
19. Toia B, Pakzad M, Hamid R, Greenwell T, Ockrim J. Surgical outcomes of vesicovaginal fistulae in patients with previous pelvic radiotherapy. Int Urogynecol J. 2020; 31(7):1381–1385. https://doi.org/10.1007/s00192-019-04217-z.
Article
20. Varytė G, Bartkevičienė D. Pelvic radiation therapy induced vaginal stenosis: a review of current modalities and recent treatment advances. Medicina (Kaunas). 2021; 57(4):336. https://doi.org/10.3390/medicina57040336.
Article
21. Krebs LU. Sexual assessment in cancer care: concepts, methods, and strategies for success. Semin Oncol Nurs. 2008; 24(2):80–90. https://doi.org/10.1016/j.soncn.2008.02.002.
Article
22. Small W Jr, Winter K, Levenback C, Iyer R, Gaffney D, Asbell S, et al. Extended-field irradiation and intracavitary brachytherapy combined with cisplatin chemotherapy for cervical cancer with positive para-aortic or high common iliac lymph nodes: results of ARM 1 of RTOG 0116. Int J Radiat Oncol Biol Phys. 2007; 68(4):1081–1087. https://doi.org/10.1016/j.ijrobp.2007.01.026.
Article
23. Teng X, Zhang X, Zhi X, Chen Y, Xu D, Meng A, et al. Risk factors of dermatitis during radiation for vulvar carcinoma. Precis Med Sci. 2022; 11(3):106–110. https://doi.org/10.1002/prm2.12077.
Article
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr