Under what circumstances (if any) would you offer hysterectomy after completion of primary chemoradiation for locally advanced cervical cancer?  

Very few. I have only done this once for someone with recurrence limited to the cervix. The patient refused exenterative surgery and we were lucky that the planes were preserved to perform the hysterectomy after full dose external beam and brachytherapy.

I agree with Dr. @Christina S. Chu. I work at a very high volume cervical cancer center where we see lots of advanced cervical cancers due to a lack of access to preventative healthcare. I never offer a completion hysterectomy immediately after chemoradiation. Instead, my practice is to do a pelvic ...