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When do you include the mesorectum for definitive cervical cancer patients getting concurrent chemoradiation followed by brachy?
Particularly with IMRT when delineating volumes.
Answer from: Radiation Oncologist at Community Practice
I would also include it if there is direction invasion into the mesorectum or EMVI.
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Answer from: Radiation Oncologist at Academic Institution
The incidence of mesorectal nodal metastasis (MRNM) in cervical cancer has not been well studied. Whether or not to include the mesorectum within the target volume is controversial. The mesorectum is difficult to evaluate for nodal metastasis because MRNM are often too small to detect with imag...
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Radiation Oncologist at Medical College of Wisconsin
This is very helpful information! The other settin...
This is very helpful information! The other settin...
Radiation Oncologist at University of Minnesota Medical School
Great answer. Agree. Thank you!
Great answer. Agree. Thank you!
Answer from: Radiation Oncologist at Community Practice
I would include mesorectum only in the presence of mesorectal nodes on imaging.
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Radiation Oncologist at CCare
How about in the situation of an involved uterosac...
How about in the situation of an involved uterosac...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
For rectal involvement, yes as spread pattern may ...
For rectal involvement, yes as spread pattern may ...