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Radiation Oncology • Gynecologic Cancers
How do you manage vaginal necrosis after pelvic radiation?
Hydrogen peroxide douches? Antibiotics? (If so, what are you covering?) When do you initiate hyperbaric oxygen? Do you find pentoxyfyline helpful? How would you approach treatment for vaginal necrosis in a patient receiving chemotherapy for a recurrence?
Answer from: Radiation Oncologist at Academic Institution
This is a broad topic that doesn't lend itself to a short answer format; however, I will offer a few thoughts. The first thing, of course, is to keep it from happening through judicious RT technique. Vaginal necrosis is most likely due to brachytherapy administration rather than external beam RT, ...
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