For a medically inoperable clinically-staged FIGO IA endometrial cancer with serous, clear cell or other non-endometrioid, high-risk histology treated with EBRT alone, would you cover elective lymph nodes, or treat the uterus alone?
The patient also declines any brachytherapy treatment.
Answer from: Radiation Oncologist at Community Practice
I would utilize a combination of EBRT and HDR-BT as well as adjuvant chemotherapy, if medically fit for such. If declining brachytherapy, recent reports on SBRT for GYN cancers as a boost modality can help guide planning to avoid excess toxicity risk.The ESGO/ESTRO guidelines have a section for medi...
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Answer from: Radiation Oncologist at Community Practice
It is a function of goals of care and expected survival from co-morbidities and can vary from a short course of palliative RT to definitive RT with EBRT plus some boost with or without chemotherapy.