Do you utilize GCSF during pelvic chemoradiation therapy for cervical cancer or avoid it due to concern for paradoxical neutropenia from concomitant radiation + GCSF?

What is your practice when you have a neutropenic cervical cancer patient undergoing chemoradiation?

Answer from: Radiation Oncologist at Community Practice

Based on ANC count, duration, or fractions of RT completed, we have done neupogen to avoid delay of RT and keep total time within 7 to 8 weeks (timed administration of stimulant on Friday, Saturday, and Sunday).

Comments

at Baptist Medical Group
Do you observe paradoxical more severe neutropenia...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
We have not seen.

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Do you utilize GCSF during pelvic chemoradiation therapy for cervical cancer or avoid it due to concern for paradoxical neutropenia from concomitant radiation + GCSF?

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