What treatment would you offer a patient with metastatic cervical cancer to the supraclavicular nodes with a complete clinical response in her nodes, but a 3 cm residual in the cervix?  

Patients with stage IV disease because of s/c node only, we treat with definitive intent covering all pre chemo disease with combination of EBRT and brachy, based on limited series for WSU and Korea showing a subset has long disease free interval with potential for cure.