What volumes would you use for salvage radiation in a patient with a pelvic lymph node recurrence of cervical cancer initially treated with surgery alone?

What dose would you use?

Answer from: Radiation Oncologist at Community Practice

Assuming a PET is done, we treat one nodal region above the involvement (the entire common illiac nodes for pelvic only and paraaortic for common illiac involvement) along with vagina and paravgina with concurrent cisplatinum. The dose to involved node is 55 Gy in 25 fractions (equivalent to 58-60 G...

Comments

Radiation Oncologist at Advocate Radiation Oncology
Thank you Dr Beriwal, How would you treat a recurr...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
would see if surgery feasible or not if not can c...

Radiation Oncologist at Advocate Radiation Oncology
Thank you for your prompt reply, the node is unres...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
it would vary based on location and critical organ...

Radiation Oncologist at Advocate Radiation Oncology
Much appreciated, it is a difficult location, abut...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
i would be very reluctant as morbidity too high if...

Please select the option that best describes you:

What volumes would you use for salvage radiation in a patient with a pelvic lymph node recurrence of cervical cancer initially treated with surgery alone?

Related Questions