Evidence map›Paper›PMID 39600749›Full record

ArticleCureus2024

Brachytherapy With Modified Rotte-y Applicator for Inoperable Endometrial Cancer: A Case Report.

Rashi Agrawal, Nelesh Aggarwal, Swasti Swasti, Kailash Mittal, Arnav Sharma

Abstract readCase Reports
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rashi AgrawalRadiation Oncology, Max Super Speciality Hospital, Ghaziabad, IND.
Nelesh AggarwalRadiation Oncology, Max Super Speciality Hospital, Ghaziabad, IND.
Swasti SwastiGynecologic Oncology, Max Super Speciality Hospital, Ghaziabad, IND.
Kailash MittalRadiology and Radiation Oncology, Uttar Pradesh University of Medical Sciences, Etawah, IND.
Arnav SharmaRadiation Oncology, Max Super Speciality Hospital, Ghaziabad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The preferred treatment for medically inoperable early-stage endometrial cancer (EC) is definitive radiation therapy (RT), either in the form of brachytherapy (BT) alone or in combination with external beam radiotherapy (EBRT). This case report details a modified brachytherapy approach for a 59-year-old female patient who was known to have multiple comorbidities, poor performance status, and progressive slowness in activities of daily living. She presented with a complaint of post-menopausal bleeding per vaginum, for which she underwent investigations and was diagnosed with a case of endometrial adenocarcinoma, International Federation of Gynecology and Obstetrics (FIGO) stage IA and grade I. After the tumor board discussion, the patient was deemed medically inoperable and planned for radical radiotherapy. She received EBRT via the image-guided intensity-modulated radiotherapy technique, a dose of 50.4 Gy in 28 fractions to the uterus, cervix, and upper 2 cm of the vagina, followed by weekly intracavitary brachytherapy (ICBT), a dose of 4.5 Gy in the first fraction via the Rotte-Y applicator and 5.2 Gy in the second and third fractions each via the modified Rotte-Y applicator. The modified applicator demonstrated better coverage of the target with a lesser dose to the organs at risk (OARs) and underscores its potential use in the future for such cases.

Indexed as

brachytherapycarcinoma endometriumgynae-oncologyintracavitaryrotte-y applicator

Identifiers

PMID39600749
PMCPMC11589508

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.