How would you treat a woman with an isolated vaginal cuff recurrence from endometrial cancer who has received salvage resection?
While EBRT + brachy may be preferred, what treatment would you offer if surgery has been performed? What dose and volume of EBRT, brachytherapy, or both would you recommend?
Answer from: Radiation Oncologist at Community Practice
I would still consider for RT as limited data suggest higher nodal relapse if only local disease addressed
I would treat pelvis with EBRT followed by brachy boost but to lower total dose of 60 to 65 Gy EQ2