Introdução: O câncer do colo do útero (CCU) está entre os cinco tipos de cânceres mais frequentes em mulheres. Inicialmente, o tratamento indicado é a cirurgia. Já, quando a paciente apresenta fatores de risco associados à recidiva local, é feita a radioterapia pélvica adjuvante. Investigar o impacto do tratamento na Qualidade de Vida (QV) das mulheres com CCU pode auxiliar o planejamento de ações no sentido de reduzir ou evitar danos. Objetivo: Compilar as repercussões e os fatores que influenciam a QV de mulheres com CCU submetidas ao tratamento radioterápico. Método: Foi realizada uma revisão integrativa da literatura nas bases de dados MEDLINE (PubMed), LILACS e SciELO. Os critérios de inclusão foram artigos dos últimos cinco anos, de acesso aberto, escritos em português, inglês ou espanhol e que abordassem o tema definido total ou parcialmente. Resultados: Foram selecionados 17 artigos, entre os quais predominaram os estudos longitudinais prospectivos (n=9), seguidos dos estudos transversais (n=5) e estudos longitudinais retrospectivos (n=3). Ademais, houve a utilização de 15 diferentes questionários, sendo mais frequente o European Organization for Research And Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30), que integrou oito estudos. Conclusão: A QV das mulheres submetidas à radioterapia foi influenciada por fatores socioeconômicos, educacionais, relações matrimoniais e modalidade da radioterapia. Apesar de os métodos de tratamento terem influenciado fatores individuais, como sintomas físicos e emocionais, não tiveram relação significativa com a QV geral. Estudos devem ser realizados para avaliar os efeitos da radioterapia em longo prazo.

Background: Brain tumors are the most common solid neoplasia and the main cause of death from malignancy in children. Germ cell tumors (GCT) of the central nervous system (CNS) are rare. In pediatrics, the main location is close to the pineal gland and germinomas are the most common intracranial GCTs. Objectives and Methods: To describe the case of a patient with a possible germinoma treated exclusively with radiotherapy. The case was studied and came from a referral hospital – João Pesssoa, PB. Results: Reports “impaired failure”, disorientation and headache. Computed tomography: Hydrocephalus and strong tumor suspicion in the pineal region. Alpha-fetoprotein (AFP) and beta-gonadotropin (betaHCG) measurements: Normal. Treatment can be based on radiotherapy or chemotherapy followed by radiotherapy. In this case, radiotherapy was performed at a dosage of 10 Gy, with control, after one month, by means of magnetic resonance imaging that revealed regression of the lesion. The treatment corroborated the hypothesis of a germinoma, which is extremely radiosensitive. However, the regression made it impossible to perform the anatomopathological exam for diagnostic conclusion. Conclusions: It can be seen, then, that primary CNG GCTs are part of a heterogeneous group of extremely rare lesions, with germinoma therapy still controversial. The case shows regression of a possible germinoma only with the use of radiotherapy.

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Background: Fibrous dysplasia is a congenital and benign bone tumor. There may be malignant transformation in some cases, with a mortality rate of 53.6%. Objectives and Methods: To describe a patient with fibrous dysplasia in childhood in the parietal and temporal bones, and to report the importance of surgical correction to prevent malignant transformation. The case was studied and came from a referral hospital – João Pesssoa, PB. Results: History of daily headache and bulging in the temporal and parietal regions on the right. Computed tomography revealed lesions in the aspect of “ground glass”. Surgery was performed with exposure of two lesions, with craniectomy, followed by cranioplasty. Such an approach should be recommended, since malignant transformation occurs in up to 1% of cases, but after radiotherapy this rate can reach 44% of cases, mainly osteosarcoma. In this case, the anatomopathological study revealed a diagnosis of fibrous dysplasia and the patient has been followed up for 20 years without recurrences, which are common in adolescence. Conclusions: It is important to make a differential diagnosis with malignant diseases, in addition to contraindicating radiotherapy to prevent malignant transformation; long-term follow-up is essential to avoid relapses and / or complications resulting from the disease.

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