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When do you use a vaginal cuff boost with pelvic RT for stage II endometrial cancer?
For the management of stage II endometrial cancer, NCCN says pelvic RT and/or vaginal brachytherapy. Do you ever add vaginal cuff boost to pelvic RT, and if so, what factors do you consider when you combine treatment?
Answer from: Radiation Oncologist at Academic Institution
I agree entirely with @Ann H. Klopp. I will add that the patients receiving external beam RT today tend to have a higher risk profile than those studied in the past, because most intermediate risk patients are now treated with vaginal cuff RT only.
Answer from: Radiation Oncologist at Academic Institution
To answer whether stage II patients are ever treated with VBT alone, it's not a boards answer as it's not supported by randomized data, but we have done it based on this multi-institutional analysis out of Loyola: https://www.ncbi.nlm.nih.gov/pubmed/29885996 Requirements are that the patient un...
How do you sequence the external beam and brachyth...
We typically start the brachy boost immediately af...