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Radiation Oncology • Gynecologic Cancers
With vaginal cuff brachytherapy, do you treat to active or treatment length?
When you prescribe your dose at 0.5 cm depth of the vagina? For instance, if you measure a vaginal length to be 8 cm, would you prescribe to treat 4 cm active length or 4 cm treatment length? Or you would do something differently? There seems to be a variability in clinical practice in regards to the prescription length. If local control is equivalent between two different approaches (active vs treatment length), why not use a definition with a shorter prescription length which may potentially yield better toxicity outcomes?
Answer from: Radiation Oncologist at Community Practice
Usually not with patient who needs brachy alone. If patient needs EBRT, then in these patients, I treat entire length with EBRT.
Do you treat a longer length if there is an agress...
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