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Conventional radiotherapy planning of cervical cancer in resource-constrained set-up: Utilizing soldering lead wire to delineate radiotherapy portal. Gynecol Oncol Rep 2020; 34:100650. [PMID: 33088884 PMCID: PMC7566839 DOI: 10.1016/j.gore.2020.100650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2020] [Revised: 09/02/2020] [Accepted: 09/07/2020] [Indexed: 11/20/2022] Open
Abstract
Cervical cancer is the commonest malignancy among women in developing countries. Radiotherapy is mainstay of management and simulator for RT planning may be sparse. Our study has demonstrated the utility of locally available resources for simulation. Using soldering wire for conventional RT field delineation appears to be feasible. Future studies are needed to validate the RT portals delineated by this technique.
Simulator for radiotherapy planning may not be available in resource-constrained set-up. Surface anatomy based planning has its own limitation in terms of adequately covering target due to variation of anatomy and tumor growth and spread pattern. Hence, improvisation of radiotherapy planning of cervical cancer, commonest malignancy among women in this set-up, utilizing locally available resource may improve treatment quality. Soldering lead wire, plumber’s measuring tape, diagnostic x-ray and transpore adhesive tape were utilized to delineate radiotherapy portals for management of cervical cancer. Delineation of radiotherapy portals for irradiation of different regions in selected patients of carcinoma cervix is feasible in resource-constrained set-up. Radiotherapy delivery by conventional 2-D technique through the portal designed by utilizing soldering lead wire and diagnostic x-ray was achievable. Radiotherapy portal so delineated need to be validated in future clinical studies.
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Sirohi B, Chalkidou K, Pramesh CS, Anderson BO, Loeher P, El Dewachi O, Shamieh O, Shrikhande SV, Venkataramanan R, Parham G, Mwanahamuntu M, Eden T, Tsunoda A, Purushotham A, Stanway S, Rath GK, Sullivan R. Developing institutions for cancer care in low-income and middle-income countries: from cancer units to comprehensive cancer centres. Lancet Oncol 2018; 19:e395-e406. [PMID: 30102234 DOI: 10.1016/s1470-2045(18)30342-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2018] [Revised: 04/26/2018] [Accepted: 04/26/2018] [Indexed: 12/27/2022]
Abstract
Global cancer centres operate across different sizes, scales, and ecosystems. Understanding the essential aspects of the creation, organisation, accreditation, and activities within these settings is crucial for developing an affordable, equitable, and quality cancer care, research, and education system. Robust guidelines are scarce for cancer units, cancer centres, and comprehensive cancer centres in low-income and middle-income countries. However, some robust examples of the delivery of complex cancer care in centres in emerging economies are available. Although it is impossible to create an optimal system to fit the unique needs of all countries for the delivery of cancer care, we summarise what has been published about the development and management of cancer centres in low-income and middle-income countries so far and highlight the need for clinical and political leadership.
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Affiliation(s)
| | - Kalipso Chalkidou
- Imperial College London, London UK; Centre for Global Development, London, UK
| | | | | | - Patrick Loeher
- Indiana University Medical Center, Indianapolis, IN, USA
| | - Omar El Dewachi
- Global Health Institute, American University of Beirut, Beirut, Lebanon
| | | | | | | | | | | | - Tim Eden
- University of Manchester, Manchester, UK
| | - Audrey Tsunoda
- Hospital Erasto Gaertner, Instituto de Oncologia do Paraná and Universidade Positivo, Curitiba, Brazil
| | - Arnie Purushotham
- Tata Trusts, Mumbai, India; King's Health Partners Comprehensive Cancer Centre and Institute of Cancer Policy, School of Cancer Sciences, Kings College London, London, UK
| | | | - Goura K Rath
- All India Institute of Medical Sciences, New Delhi, India
| | - Richard Sullivan
- King's Health Partners Comprehensive Cancer Centre and Institute of Cancer Policy, School of Cancer Sciences, Kings College London, London, UK
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Establishment of Indira Canteen in the campus of Kidwai Cancer Institute, Bangalore (India): A glimpse into journey from advocacy to realization. J Cancer Policy 2018. [DOI: 10.1016/j.jcpo.2017.12.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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