“Fiducial markers in adjuvant setting for a patient affected by endometrial cancer: a case report”
Introduction (extract): Implantation of Fiducial Markers (FMs) in the vaginal cuff of patients receiving radiotherapy (RT) or brachytherapy could help patient daily setup, image guidance and intra-fraction detection of the radiation targets.
Clinical case (extract): Case report of a woman treated with surgery for endometrioid cancer who underwent adjuvant pelvic IMRT after the implantation of 3 Gold Anchors (0.40 mm × 10 mm) in the vaginal cuff.
Results (extract): The patient reported no discomfort during the FM implantation, and no complications were seen. No evidence of FM migration was reported.
Conclusion: In our clinical case, the implantation of FMs in the vaginal cuff of a patient who underwent pelvic adjuvant RT was well tolerated and reported no complications. The use of IGRT procedures based on FMs surrogating the vaginal vault may reduce inter-observer variability and pave the way for adaptive strategies or stereotactic treatments as external beam pelvic boost in gynecological field.