What is your approach to a cervical SCC patient in which you're unable to properly place a T&O, due to obliterated cervical os, after completion of EBRT?  

In our experience this is an extremely rare circumstance if the implant is done with ultrasound guidance--certainly <1% of cases. Depending on your level of experience and confidence, it may be worth referring the patient to a more experienced brachytherapist. That said, there are rare cases, par...

This is so rare with the options of ring and tandem, tandem and ovoid, hybrid applicator, interstitial, and lastly tandem and cylinder  Under imaging guidance, (sonogram, CT, AND MRI) it is unlikey one can't get one of the above to get good dose distribution.