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How do you plan urgent radiation therapy for vaginal bleeding caused by locally advanced cervical cancer?
What dose and technique do you use and how do you integrate the subsequent definitive treatment plan?
Answer from: Radiation Oncologist at Academic Institution
Agree with @Sushil Beriwal, we do the same and start at 1.8. Vaginal packing (you can treat with the packing in), transfuse if needed given bleeding. 4-field to start and can turn around a box within a couple hours, and then switch to IMRT as soon as approved. We also try to start the chemo quickly....
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Answer from: Radiation Oncologist at Community Practice
Generally, my approach has been vaginal packing, support and start chemo plus pelvic RT with 1.8 Gy per fraction as an in-patient to expedite treatment if based on imaging that the patient has non metastatic disease. This approach does help most of the time in slowing down bleeding. Sometimes if it ...
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Radiation Oncologist at West Michigan Cancer Center
Do you start with a conventional AP-PA plan to exp...
Do you start with a conventional AP-PA plan to exp...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
3D conformal 4 field.
3D conformal 4 field.
Radiation Oncologist at University of Miami Sylvester Comprehensive Cancer Center
Do you then lower the brachytherapy dose given the...
Do you then lower the brachytherapy dose given the...