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Obstet Gynecol Sci > Volume 54(6); 2011 > Article
Korean Journal of Obstetrics & Gynecology 2011;54(6):317-321.
DOI: https://doi.org/10.5468/KJOG.2011.54.6.317    Published online June 1, 2011.
Concurrent chemoradiation-related superior mesenteric artery occlusion in the patient with advanced endometrioid endometrial cancer after surgery.
Kyoungmi Kim, Jang Yong Kim, Kee Chun Hong, Hunjung Kim, Jeeyoung Han, Eunseop Song
1Department of Obstetrics and Gynecology, Inha University College of Medicine, Incheon, Korea. songsong2000@hotmail.com
2Department of Surgery, Inha University College of Medicine, Incheon, Korea.
3Department of Radiation Oncology, Inha University College of Medicine, Incheon, Korea.
4Department of Pathology, Inha University College of Medicine, Incheon, Korea.
Abstract
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.
Key Words: Endometrial neoplasms, Radiotherapy, adjuvant, Chemotherapy, adjuvant, Mesenteric vascular occlusion


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