Dr. Manoj Kumar B. Moderator : Prof. F D Patel PGIMER 29 th Jan 2009

By the Numbers 11,000 Incidence of invasive cervical cancer diagnosed annually in the US 3,500 U.S. women who will die of the disease this year 43% Diagnoses in women aged 45 years or younger 550 Approximate number of patients worldwide who have chosen radical trachelectomy in 13 yrs 204 Reported number of babies born to women who have undergone radical trachelectomy 5% recurrence and 3% death after recurrence OncoLog, June 2008, Vol. 53, No. 6

Tube Type Length Tubes used Mg Ra loaded Units loaded from fundus to cervix Tubes (mg) used for loading Large 6 3 35 6-4-4 15-10-10 Medium 4 2 25 6-4 15-10 Small 2 1 20 8(10) 20 Ovoid Tubes used Mg Ra loaded Units loaded Tubes (mg) used for loading Large 3 22.5 9 10-10-5 or 20/25* Medium 2 20 8 20 Small 1 17.5 7 10-5-5 or 20/15**

Patient Preparation Applicator Check Applicator implantation and fixation Imaging Treatment Planning Treatment excution

X-ray catheters