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Gynecologic Cancers • Cervical Cancer
For newly diagnosed advanced cervical cancer, how soon after periaortic lymph node evaluation do you start definitive chemoradiation treatment?
Assuming the nodal assessment is minimally invasive and the patient is otherwise healthy without postoperative complications.
Answer from: Radiation Oncologist at Academic Institution
It depends on the evaluation method: PET scanning, limited node biopsies, lymph node dissection. In general, 4-6 weeks is a reasonable waiting period, if post-op course is uneventful. I would use IMRT to decrease small bowel and kidney toxicity. Dose, about 5000 cGy and boost with limited volumes to...
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