24 Rectal Cancer

Rectal Cancer

7

THE GEC ESTRO HANDBOOK OF BRACHYTHERAPY | Part II: Clinical Practice Version 1 - 10/12/2014

Fig. 25.4 Rectal Cancer before, during and after contact X-ray brachytherapy (endoscopic findings)

30Gy

08.11.05 Day 0

Fig 25.4a Malignant polyp before treatment (day 0)

Fig 25.4d: Depth dose curve of contact X-ray brachytherapy for different applicator sizes

30Gy

22.11.05 D 14

Fig 25.4e Post contact X-ray brachytherapy (Papillon) scar with pale centre and telangiectasia around the scar

Fig 25.4b Response after one fraction of contact x-ray brachytherapy 30Gy (day14)

30Gy

06.12.05 D 28

Fig 25.4f Superficial ulcer following brachytherapy which usually heals after 3-6 months.

Fig 25.4c Complete clinical response after 2nd fraction 30Gy (day 28)