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Intravaginal iridium-192 in the management of embryonal rhabdomyosarcoma
M E O'Connell1, P J Hoskin, W P Mayles
1Department of Radiotherapy, Royal Marsden Hospital, Sutton, Surrey, UK.
Abstract:
Three patients with vaginal rhabdomyosarcoma and residual vaginal disease following surgery and chemotherapy have been treated using high dose irradiation with vaginal moulds loaded with iridium-192. These patients remain well and disease-free seven years, 30 months and 18 months after their initial presentations. This paper describes a technique for local vaginal irradiation with individualized vaginal moulds made using a rapid-setting silastic foam impression and loaded with a single plane of iridium wires. Details of the dosimetry are also included.