Sarcoma corporis uteri after radiation therapy

Abstract

Postirradiation tumors are rare kind of late complication of radiation therapy. The most of them are histologicaly confirmed sarcomas of bones or soft tissues. The pelvic location of malignance are usualy recognised late and has poor prognosis. We report a case of the postirradiation sarcoma developing in uterus 7 years after radiation therapy for cervical cancer. The rapid progresion was cause of death of observed patient, nevertheless radical surgery treatment. A short references review, concerning frequency, the most common histological types and possible mechanisms of secondary postirradiation malignancies has been presented. According to reccurence, dissemination and secondary malignancies risks the follow-up after radiation therapy should last for many years. Acknowledgement of the nature of postirradiation malignancies among primary care doctors may result in earlier diagnosis and better treatmant efficacy.