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Fig. 1 | Radiation Oncology

Fig. 1

From: Is the irradiated small bowel volume still a predictor for acute lower gastrointestinal toxicity during preoperative concurrent chemo-radiotherapy for rectal cancer when using intensity-modulated radiation therapy?

Fig. 1

a. Axial (left) and sagittal (right) views of small bowel contour in a 46 year-old male patient with a stage cT3 cN+ cM0 rectal cancer treated with preoperative IMRT concurrent with chemotherapy. b. Reference video capsule endoscopy image for radiation induced small bowel injury: Friability and oozing blood from atrophic-appearing mucosa. (Authorization by Medscape Drugs & Diseases). c. Case1: A 60 year-old female patient with a stage cT3 cN+ cM0 rectal adenocarcinoma who presented with grade 2 tenesmus without watery stools on the day 13 of the radiotherapy which was resolved in 2 days after symptomatic treatment. Video capsule endoscopy showed normal mucosa throughout the small bowel. d. Case 2: A 60 year-old male patient with a stage cT2 cN+ cM0 rectal adenocarcinoma who did not experienced significant lower GI toxicity during the treatment course. Video capsule endoscopy showed normal mucosa throughout the small bowel

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Radiation Oncology

ISSN: 1748-717X

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