Would you offer definitive RT to a patient with metastatic cervical adenocarcinoma s/p carbo/taxol/avastin with a partial response in the metastatic sites?
ex. in a patient with pulmonary micronodules, inguinal, pelvic, PA nodes
Answer from: Radiation Oncologist at Community Practice
I have delivered definitive pelvic chemoradiotherapy to a handful of patients who had complete radiographic responses to neoadjuvant TCA. All patients remain disease-free several years later. As for a patient with only a partial response, I believe there is still a good argument to be made for the a...
Comments
Radiation Oncologist at Harold C Simmons Comprehensive Cancer Center/UT Southwestern I agree - we call this consolidation RT.
I agree with both answers above. I too have given NACT for 3-6 cycles and had some patients with complete radiologic response to distant metastasis. These ladies then got definitive chemoradiation. Most remain disease free for a while with a handful never recurring. If however there is only a partia...
I agree - we call this consolidation RT.