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For a patient with advanced serous fallopian tube carcinoma involving the uterus, cervix, and vagina who is now s/p interval debulking surgery, would you offer adjuvant vaginal brachytherapy if the upper vaginectomy margin was positive?

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Mednet Member

Radiation Oncology · Varian Medical Systems/Allegheny health network

It’s a data-free zone, but based on the description, I would consider brachy alone (6 to 7 Gy x 5 prescribed to visible vaginal thickness) between chemotherapy.