How would you manage a female in her 40s with stage III cervical cancer with hydronephrosis and Crohn's disease?

Would you consider standard definitive chemoRT (EBRT + HDR brachytherapy)?

Answer from: Radiation Oncologist at Community Practice

I would treat with definitive chemo RT minimizing bowel exposure as much as I can with IMRT (adaptive if possible so can treat with tighter margin and IGBT) and inform the patient about the risk of complications.

Comments

Radiation Oncologist at Harbin Clinic Cancer Center
Thanks @Sushil - helpful. - J.C.

at ProMedica Toledo Hospital
Needs stent

Radiation Oncologist at Harbin Clinic Cancer Center
Stent was placed. Thanks.

Radiation Oncologist at Allegheny Health Network
If you have hybrid brachy equipment that also will...

Answer from: Radiation Oncologist at Community Practice

Here is where adaptive RT comes into play to minimize the small bowel dose, in addition to this, I would consider limiting the dose to the lower abdomen if node negative.

Answer from: Radiation Oncologist at Community Practice

Use proton for the external beam component.

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How would you manage a female in her 40s with stage III cervical cancer with hydronephrosis and Crohn's disease?

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