What dose is required to gross disease in the definitive treatment of vulvar cancer?
For definitive vulvar ca, is 5940 cGy the minimum acceptable dose for gross disease? 5760cGy? Or should the dose be escalated beyond 60Gy?
Answer from: Radiation Oncologist at Academic Institution
As with all gynecologic carcinomas, the optimal dose is at least to some extent dependent on the volume of disease. However, our experience suggests that a minimum of 60 Gy should always be given for gross diasease, even when concurrent chemotherapy is being given. That said, for gross disease that ...
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Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital Thanks so much, very helpful!
Answer from: Radiation Oncologist at Community Practice
Another good resource for contouring and treatment recommendations for vulvar carcinoma which echo @Patricia J. Eifel's post:
http://www.redjournal.org/article/S0360-3016(16)00163-2/abstract
In reference to your question, for definitive treatment, the article recommends doses between 60-70 Gy. &nb...
Comments
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital Thanks so much, very helpful!
Thanks so much, very helpful!