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In cervical cancer, is the presence of parametrial LNs with ITCs considered parametrial disease requiring adjuvant chemo +/- RT?   

In  patient with PD SCCA 15mm transverse;  5/20mm invasion; LVSI focally present; margins negative;  0/15 Left pelvic and 0/14 right pelvic LNs.



Answer from: Radiation Oncologist at Community Practice
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Answer from: Radiation Oncologist at Academic Institution
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