Long-Term Tumor Control After Carbon Ion Radiation Therapy Boost in Locally Advanced Cervical Clear Cell Adenocarcinoma
Clear cell adenocarcinoma of the uterine cervix is a rare and aggressive subtype of cervical cancer, typically resistant to conventional radiation therapy and lacking dedicated treatment guidelines. We present the case of a young patient with an ataxia telangiectasia mutation and locally advanced disease, who was unfit for brachytherapy following standard chemoradiotherapy and subsequently received a carbon ion radiation therapy boost. This mixed-beam strategy was well tolerated and led to durable local control along with a nodal response, which is suggestive of a possible abscopal effect. These findings underscore the potential of carbon ion radiation therapy in overcoming radioresistance and suggest a contributory role of genetic background in mediating systemic immune effects.
Authors
- Eloisa Arbustini (ORCID: https://orcid.org/0000-0003-2948-7994)
- Carmine Tinelli (ORCID: https://orcid.org/0000-0002-8749-1978)
- Marco Carnelli
- Alessandro Vai (ORCID: https://orcid.org/0000-0002-9020-5354)
- Viviana Vitolo (ORCID: https://orcid.org/0000-0001-7833-827X)
- Amelia Barcellini (ORCID: https://orcid.org/0000-0002-1595-104X)
- Sara Imparato (ORCID: https://orcid.org/0000-0001-6122-5877)
- Ester M. Orlandi (ORCID: https://orcid.org/0000-0001-6495-8574)
- Carlo Pietro Soatti
- D. Delishaj (ORCID: https://orcid.org/0000-0002-1782-0852)
- E. Vitali
Institutions
- University of Pavia (IT)
- National Center for Oncological Hadrontherapy (IT)
- Ospedale Papa Giovanni XXIII (IT)
- Alessandro Manzoni Hospital (IT)
- Policlinico San Matteo Fondazione (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Publication Details
- Journal
- International Journal of Particle Therapy
- Published
- 2025-08-14
- DOI
- https://doi.org/10.1016/j.ijpt.2025.101200
- Citations
- 1
- Primary Topic
- Radiomics and Machine Learning in Medical Imaging
- Type
- article
- Field-Weighted Citation Impact
- 1.36