For a localized vaginal cuff recurrence of uterine leiomyosarcoma, what is the preferred management strategy?
Do you prefer surgery (i.e. exenteration) given the radioresistant histology or would you attempt to manage with EBRT and brachytherapy?
Answer from: Radiation Oncologist at Community Practice
I would favor surgery if feasible (upper vaginectomy is also sometimes an option) and if not, can try induction chemo or preop RT to make it resectable.
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