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Peiffert D, Hannoun-Lévi JM, Oldrini S, Brunaud C. Arrêt de la commercialisation des fils d’iridium 192 en France : proposition du groupe de curiethérapie de la Société française de radiothérapie oncologique. Cancer Radiother 2014; 18:441-6. [DOI: 10.1016/j.canrad.2014.08.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Revised: 08/01/2014] [Accepted: 08/01/2014] [Indexed: 11/30/2022]
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Mazeron R, Dumas I, Martin V, Martinetti F, Benhabib-Boukhelif W, Gensse MC, Chargari C, Guemnie-Tafo A, Haie-Méder C. [Pulsed-dose rate brachytherapy in cervical cancers: why, how?]. Cancer Radiother 2014; 18:447-51. [PMID: 25155782 DOI: 10.1016/j.canrad.2014.06.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2014] [Revised: 06/24/2014] [Accepted: 06/26/2014] [Indexed: 10/24/2022]
Abstract
The end of the production of 192 iridium wires terminates low dose rate brachytherapy and requires to move towards pulsed-dose rate or high-dose rate brachytherapy. In the case of gynecological cancers, technical alternatives exist, and many teams have already taken the step of pulsed-dose rate for scientific reasons. Using a projector source is indeed a prerequisite for 3D brachytherapy, which gradually installs as a standard treatment in the treatment of cervical cancers. For other centers, this change implies beyond investments in equipment and training, organizational consequences to ensure quality.
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Affiliation(s)
- R Mazeron
- Département d'oncologie-radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France.
| | - I Dumas
- Département de physique médicale, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - V Martin
- Département d'oncologie-radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - F Martinetti
- Département de physique médicale, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - W Benhabib-Boukhelif
- Département de physique médicale, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - M-C Gensse
- Département d'oncologie-radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - C Chargari
- Département d'oncologie-radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - A Guemnie-Tafo
- Département de physique médicale, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
| | - C Haie-Méder
- Département d'oncologie-radiothérapie, institut de cancérologie Gustave-Roussy, 114, rue Édouard-Vaillant, 94805 Villejuif cedex, France
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Miglierini P, Malhaire JP, Goasduff G, Miranda O, Pradier O. Cervix cancer brachytherapy: high dose rate. Cancer Radiother 2014; 18:452-7. [PMID: 25151650 DOI: 10.1016/j.canrad.2014.06.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2014] [Revised: 05/30/2014] [Accepted: 06/06/2014] [Indexed: 12/12/2022]
Abstract
Cervical cancer, although less common in industrialized countries, is the fourth most common cancer affecting women worldwide and the fourth leading cause of cancer death. In developing countries, these cancers are often discovered at a later stage in the form of locally advanced tumour with a poor prognosis. Depending on the stage of the disease, treatment is mainly based on a chemoradiotherapy followed by uterovaginal brachytherapy ending by a potential remaining tumour surgery or in principle for some teams. The role of irradiation is crucial to ensure a better local control. It has been shown that the more the delivered dose is important, the better the local results are. In order to preserve the maximum of organs at risk and to allow this dose escalation, brachytherapy (intracavitary and/or interstitial) has been progressively introduced. Its evolution and its progressive improvement have led to the development of high dose rate brachytherapy, the advantages of which are especially based on the possibility of outpatient treatment while maintaining the effectiveness of other brachytherapy forms (i.e., low dose rate or pulsed dose rate). Numerous innovations have also been completed in the field of imaging, leading to a progress in treatment planning systems by switching from two-dimensional form to a three-dimensional one. Image-guided brachytherapy allows more precise target volume delineation as well as an optimized dosimetry permitting a better coverage of target volumes.
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Mazeron R, Kamsu Kom L, Rivin del Campo E, Dumas I, Farha G, Champoudry J, Chargari C, Martinetti F, Lefkopoulos D, Haie-Meder C. Comparison between the ICRU rectal point and modern volumetric parameters in brachytherapy for locally advanced cervical cancer. Cancer Radiother 2014; 18:177-82. [DOI: 10.1016/j.canrad.2014.03.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2014] [Revised: 03/03/2014] [Accepted: 03/19/2014] [Indexed: 11/25/2022]
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Lépinoy A, Lescut N, Lassabe C, Bosset JF, Servagi-Vernat S. [Glassy cell carcinoma: a rare cervical neoplasm. Case report of two patients and review of the literature]. Cancer Radiother 2014; 18:211-4. [PMID: 24819246 DOI: 10.1016/j.canrad.2014.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2013] [Revised: 04/03/2014] [Accepted: 04/09/2014] [Indexed: 11/25/2022]
Abstract
The main histological types of cervix cancer are squamous cell carcinoma and adenocarcinoma. The glassy cell carcinoma is a rare form found in less than 2% of cases and it is an entity, aggressive and unknown, of worse prognosis, whose current treatment is not distinguished from other histological types. We report the cases of two patients with glassy cell carcinoma of the cervix with a review of the literature.
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Affiliation(s)
- A Lépinoy
- Service d'oncologie radiothérapie, centre hospitalier universitaire Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France
| | - N Lescut
- Service d'oncologie radiothérapie, centre hospitalier universitaire Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France
| | - C Lassabe
- Département d'anatomopathologie, centre hospitalier de Belfort-Montbéliard, 90000 Belfort, France
| | - J-F Bosset
- Service d'oncologie radiothérapie, centre hospitalier universitaire Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France
| | - S Servagi-Vernat
- Service d'oncologie radiothérapie, centre hospitalier universitaire Jean-Minjoz, 3, boulevard Fleming, 25000 Besançon, France.
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Hannoun-Lévi JM, Peiffert D. [How to prepare the brachytherapy of the future]. Cancer Radiother 2013; 17:395-9. [PMID: 23993062 DOI: 10.1016/j.canrad.2013.06.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2013] [Revised: 05/27/2013] [Accepted: 06/07/2013] [Indexed: 11/26/2022]
Abstract
For more than a century, brachytherapy has been a treatment of choice for delivering a high dose in a small volume. However, over the past 15 years, this irradiation technique has stalled. Even so, brachytherapy allows the delivery of the right dose at the right place by dispensing with target volume motion and repositioning. The evolution of brachytherapy can be based on a road-map including at least the following three points: the acquisition of clinical evidence, teaching and valuation of the procedures. The evolution of brachytherapy will be also impacted by technological considerations (end of the production of low dose rate 192 iridium wires). Regarding the evolution toward a personalized treatment, brachytherapy of the future should take its place as a partner of other modern external beam radiation techniques, be performed by experimented actors (physicians, physicists, technicians, etc.) who received adequate training, and be valued in proportion to the delivered medical service.
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Affiliation(s)
- J-M Hannoun-Lévi
- Pôle de radiothérapie oncologique, centre Antoine-Lacassagne, 33, avenue de Valombrose, 06000 Nice, France; Université Nice-Sophia Antipolis, 06000 Nice, France.
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