For a patient who has vaginal cuff recurrence <6 months after adjuvant pelvic radiotherapy to a dose of 45 Gy, how would you approach management?

If the lesion is bulky and cannot be excised, would you treat with additional EBRT, or interstitial brachytherapy alone, or a combination thereof?

Answer from: Radiation Oncologist at Community Practice

I will start with systemic therapy and then add brachytherapy as local treatment with dose adjusted based on response and cumulative OAR dose.

Comments

Radiation Oncologist at Allegheny Health Network
Unless there's an obvious reason for the rapid rec...