This retrospective study of 44 patients who received postoperative radiotherapy soon after hysterectomy for early Stage IB to IIA carcinoma of the cervix was undertaken to determine the need for additional vaginal cuff irradiation (AVCI) following external pelvic irradiation (EPI). The reasons for adjuvant radiotherapy administration were mostly the nonradical type of performed hysterectomy or the presence of adverse prognostic histopathologic features. The overall survival and local control rates were 80% (35/44) and 89% (39/44) at 2 years and 63% (26/41) and 80% (33/41) at 5 years, respectively. Although the 2-year results seemed to indicate that AVCI was necessary, this was not supported by the obtained longer term data. Moreover, it appeared that AVCI could perhaps be safely done after EPI, when occult early-stage cervical carcinoma was found after total abdominal hysterectomy. Data from this study and the literature concerning AVCI's appropriate role in this particular disease condition are discussed.

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A 55 yr. old woman attended emergency with acute intestinal obstruction. The patient underwent emergency surgical procedure of intestinal resection after straight X-ray,few haematological and biochemical investigations. On gross examination ileal stricture due to mass in ileocaecal region with mesenteric lymph nodes found which on histological examination came out to be a squamous cell carcinoma with metastatic deposit in lymph node. The patient had a hysterectomy done 3&1/2 years back for Stage IIB squamous cell carcinoma of cervix for which she received chemoradiation.The intestinal obstruction very likely to be a metastatic presentation. DOI: http://dx.doi.org/10.3329/bjms.v12i4.16666 Bangladesh Journal of Medical Science Vol. 12 No. 04 October ’13 Page 439-441

A method is developed by which the computed tomography scans of a medium carried out at a number of diagnostic energies can be utilized to obtain the in situ "Effective Atomic Number" and "Effective Density". The electron depth dose curves in water when scaled by these factors estimate the actual electron depth dose distribution in that medium. It appears that the use of CT scans for electron beam treatment planning, in the management of cancer, is quite promising.