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Topics:
Radiation Oncology • Gynecologic Cancers
What intracavitary brachytherapy dose (and fractionation) would you recommend for stage I vaginal cancer post-resection with positive (R1) margins?
The patient is not a candidate for re-resection or external beam radiotherapy
Answer from: Radiation Oncologist at Community Practice
Presuming nodes have been addressed or don’t need to be addressed.
For brachy alone cases, I have done 6 Gy x 6 to GTV area with MRI planning with the first 4 or 5 fractions treating longer length especially if has VIN for microscopic dose and disease.
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