Do you consider high para-aortic nodes above the renal vessels to be locally advanced or metastatic in cervical cancer?

It sounds like you are asking how aggressively to treat patients with para-aortic nodal spread. My limit for "para-aortic" or "regional LAD" is usually anything below the diaphragm. I generally think of and treat these patients as advanced stage III.

I would also advocate for definitively treating ce...

After renal vessel, the next cranial level is retrocrural nodes. I do treat definitively but warn the patient about the very high risk of distant in future. Also at that level, I contour retrocrural space and not celiac nodes to limit exposure of OAR.

Kabolizadeh et al., PMID 23849691.

When treating t...