Do you use any dose constraints ovaries/uterus in premenopausal women receiving pelvic RT and hoping to preserve fertility?
Do you use a different set of dose constraints for situations requiring treating much of the pelvis, e.g. rectal cancer, versus partial pelvis, e.g. a hip sarcoma for which the uterus is farther from the PTV?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
For ovaries I use the principle of as low as we can achieve based on CTV and PTV. If possible have used number of 5 Gy or below. Based on ovarian ablation studies for breast cancer 15-20 Gy would ablate ovaries
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