In a patient with a vaginal cuff recurrence from endometrial cancer not amenable to interstitial brachytherapy, how would you boost after 45Gy?
Insurance authorization for protons is pending, but if the patient cannot have protons would you treat with standard fractionation to ~70Gy or consider a stereotactic boost?
Answer from: Radiation Oncologist at Community Practice
If not amenable to brachy which is unusual in our practice, we would use IMRT boost to 66 to 70 Gy.