Hysteroscopic endometrial resection and high-dose-rate brachytherapy: Treatment of endometrial cancer in a medically compromised patient

Objective. The use of a combined treatment option for endometrial cancer in a medically compromised patient is outlined. Methods/results. A case of a 49-year-old severely medically compromised patient with endometrial cancer is described. A complete hysteroscopic endometrial resection with insertion and suturing in place of an endocervical cannula allowed weekly outpatient delivery of high-dose-rate intracavitary radiation without anesthetic or repeat dilatation of the endocervical canal. Conclusion. The use of hysteroscopic endometrial resection with adjuvant high-dose-rate radiation therapy is a feasible treatment option for patients with endometrial cancer in whom surgery is contraindicated. (C) 1999 Academic Press.