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KMID : 0358420110540060317
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 6 p.317 ~ p.321
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Concurrent chemoradiation-related superior mesenteric artery occlusion in the patient with advanced endometrioid endometrial cancer after surgery
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Kim Kyoung-Mi
Kim Jang-Yong
Kim Hun-Jung
Han Jee-Young
Song Eun-Seop
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Abstract
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The incidence of endometrial cancer (EC) has increased and it has approximately 16% of gynecologic cancers in Korea. For loco-regional or distant recurrence, adjuvant treatment after surgery is very important in patients with intermediate- or high-risk EC (IHR-EC). Recently clinical trials for treating patients with IHR-EC are focused on the efficacy of concurrent chemoradiation (CCR). However, increase in intestinal complications in the group of radiotherapy combined with chemotherapy was reported. In case of chemoradiation-related superior mesenteric artery (SMA) occlusion, it could be fatal nevertheless with intensive care. We present a case report of radiation-related arteritis leading to stenosis in SMA, which led the patient with EC to death in a year after CCR.
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KEYWORD
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Endometrial neoplasms, Radiotherapy, adjuvant, Chemotherapy, adjuvant, Mesenteric vascular occlusion
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