Would you offer adjuvant radiation to a patient with uterine undifferentiated sarcoma s/p resection, vaginal cuff recurrence, and re-resection?

If so, would you treat the whole pelvis, cuff brachytherapy, or both?

Answer from: Radiation Oncologist at Community Practice

Following principles of managing sarcoma, I would favor RT with a combination of EBRT and brachy.

Comments

Radiation Oncologist at Maimonides Medical Center
Would you include pelvic nodes if lymph node disse...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I would not include pelvic node

Radiation Oncologist at Maimonides Medical Center
Thanks!

Answer from: Radiation Oncologist at Academic Institution

I agree with XRT as per @Sushil Beriwal. This patient's tumor has clearly shown a predisposition for local recurrence and often large margins are not attainable. I would also favor EBRT plus brachy. You may also likely consider systemic staging if not already performed.

Comments

Radiation Oncologist at Maimonides Medical Center
Dr. Beriwal does not feel it is necessary to inclu...

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Would you offer adjuvant radiation to a patient with uterine undifferentiated sarcoma s/p resection, vaginal cuff recurrence, and re-resection?

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