In your practice, what is your goal dose for boosting positive PA nodes in either the adjuvant or definitive treatment for cervical cancer?

Does definitive or adjuvant setting effect your planned dose? For example, for a woman with IB2 cervical cancer status post hysterectomy, who was subsequently found to have positive PA nodes on PET, would you boost the PA nodes past 5040 cGy, and what bowel constraints do you try to achieve?

Answer from: Radiation Oncologist at Academic Institution

The dose of RT is based on the risk of tumor recurrence tempered by normal tissue constraints. In general, known or suspected gross nodal disease is treated to 60 Gy; higher doses of 62-66 Gy may be used for large nodes that are not immediately adjacent to the duodenum, particularly if a portion of ...

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Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thank you!

Radiation Oncologist at Radiation Oncology Centers of Nevada
Thank you @Patricia J. Eifel, your comments are al...

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In your practice, what is your goal dose for boosting positive PA nodes in either the adjuvant or definitive treatment for cervical cancer?

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