How would you treat an endometrial cancer with pelvic sidewall nodes, patient s/p TAH/BSO but nodes were fixed and unresectable?
Would you consider EBRT or brachytherapy boost to the nodes? what dose would you recommend?
Answer from: Radiation Oncologist at Community Practice
We would treat with IMRT and IGRT with concurrent cisplatinum based chemotherapy, with SIB boost dose to involved nodes (dose based on size and proximity of critical organs) followed by adjuvant chemo.
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Radiation Oncologist at Weill Cornell Medical College One may need to escalate dose to LN 54- 59Gy, limi...
Answer from: Radiation Oncologist at Community Practice
As long as the patient is in good performance status and has no distant Mets, I agree with an aggressive approach, which would include chemotherapy and radiation; however, the sequencing of each is variable.
We would typically do the sandwich approach: 3 cycles of chemo, then radiation (SIB boost t...
One may need to escalate dose to LN 54- 59Gy, limi...