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How would you approach palliation of a symptomatic cervical cancer involving the supraclavicular lymph nodes?
Patient with stage IIB cervical cancer treated 8 years ago, now with large (>10cm), isolated, symptomatic recurrence involving the left SCL and mediastinum. Excellent performance status otherwise.
If offering palliative RT, what dose would you use for durable palliation? Would you consider using a quad shot? Would you add concurrent chemotherapy? Adjuvant chemotherapy?
Answer from: Radiation Oncologist at Community Practice
Bx- to confirm.
I would favor chemo first and if responds to chemo, plan for more definitive dose of RT and if no response, then palliative RT.
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