PMC10418616_01
Lesion limits, reaching the bladder and cervix.
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PMC10418616_01_10-1055-s-0037-1615293-i0098-1.jpg
FI0098-1
The lesion had well defined limits, and it was reaching the bladder and cervix without invasion, without ureteric dilation, para-vaginal or rectal involvement (Fig. 1).
(A and B) Histology - Epithelioid cells with necrotic areas and high mitotic rate, most likely a leiomyosarcoma.
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PMC10418616_01_10-1055-s-0037-1615293-i0098-2.jpg
FI0098-2
(A and B) Dosimetric plan and dose-volume histogram.
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PMC10418616_01_10-1055-s-0037-1615293-i0098-3.jpg
FI0098-3
She commenced RT (total 50Gy) of the whole pelvis and vagina with external radiation delivered at 2Gy/day, IMRT (Intensity-Modulated Radiation Therapy) 5 times/week with diary portal vision during the first week, and after then, once per week (Fig. 3).