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Figure 3 | Radiation Oncology

Figure 3

From: Definitive radiotherapy and Single-Agent radiosensitizing Ifosfamide in Patients with localized, irresectable Soft Tissue Sarcoma: A retrospective analysis

Figure 3

Case Report. A 49-year-old female presented with obstipation, vaginal bleeding, urinary problems and chronic vaginal fluor. Assuming a gynaecological tumour a biopsy of the cervix was performed and showed a high grade pleomorphic sarcoma, NOS. The MRI revealed a 13 × 9 × 9 cm tumour between cervix, bladder and rectum (a-d). Due to the palliative intent a debulking of about 80% of the tumour was performed. Prior to radiooncological treatment a protective colostomy was performed. Radiochemotherapy to 60 Gy (hyperfractionated twice daily) was well tolerated, hyperthermia had to be discontinued after the first application due to circulation problems. The colostomy could be removed after therapy. The only relevant late effect of CTC grade III or higher was a unilateral ureteral stenosis treated with a Double-J-catheter on the respective side. Ten years after the therapy the patient was still free of disease (e).

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