Purpose: The incidence of anal cancer in patients with kidney transplants has increased. The definitive treatment for anal cancer is chemotherapy and intensity-modulated radiation therapy. In kidney transplant recipients, sparing the pelvic kidney in the process of delivering radiation to the anus can be challenging. Intensity-modulated proton therapy (IMPT) has been proposed as an alternative to intensity-modulated radiation therapy for the treatment of anal cancer in this population, given its increased ability to spare organs-at-risk. Case Series: We present 4 cases of patients with transplanted pelvic kidneys who subsequently developed anal cancer and were treated with IMPT from 2017 to 2019. Conclusion: Use of IMPT appears to be an acceptable option for the treatment of anal cancer in patients with a pelvic kidney.
机构:
Mayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USAMayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA
Ilyas, Muneeb
Ginsberg, Zachary
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Mayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USAMayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA
Ginsberg, Zachary
Temkit, M'hamed
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Mayo Clin Arizona, Dept Biostat, Scottsdale, AZ USAMayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA
Temkit, M'hamed
Keddis, Mira
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Mayo Clin Arizona, Dept Nephrol, Scottsdale, AZ USAMayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA
Keddis, Mira
Sharma, Amit
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Mayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USAMayo Clin Arizona, Dept Dermatol, 13400 E Shea Blvd, Scottsdale, AZ 85259 USA