What is the maximum interval you would consider delivering adjuvant radiation therapy for endometrial cancer?

How long after hysterectomy would you consider delivering adjuvant radiation therapy? Would this differ for external beam versus brachytherapy?

Are there any pathologic features that would make you more likely to proceed with adjuvant radiation even with a significant delay?

Answer from: Radiation Oncologist at Community Practice

The data has not been evaluated prospectively but retrospective studies suggest RT delay beyond 8-9 weeks after surgery decreases efficacy of treatment. That being said, have treated high risk patients up until 16 weeks but explained the pros and cons of treatment.https://www.ncbi.nlm.nih.gov/pubmed...

Comments

Radiation Oncologist at City of Hope Med Grp
What if the patient is 1 year out?

Radiation Oncologist at Varian Medical Systems/Allegheny health network
No for sure. Would rescan and FU.

Radiation Oncologist at MedStar Georgetown University Hospital
How long of an interval would you accept after adj...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
4 to 8 weeks based on recovery from myelosuppressi...

Radiation Oncologist at Radiotherapy Cancer Center (RTCC)
Would type II histology incline anyone towards the...

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What is the maximum interval you would consider delivering adjuvant radiation therapy for endometrial cancer?

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