How aggressively do you approach pelvic treatment for patients with low volume metastatic cervical cancer, but bulky local disease?

For patients with minimal oligometastatic disease, for example, a single lung metastasis or a supraclavicular node, we will often treat all sides definitively. For patients with more significant metastatic disease, we would consider treating the primary with a shortened course of radiation. For exam...

For supraclavicular node only met and if the patient’s performance status is good, generally we treat with definitive intent with IMRT nodal boost and brachytherapy. Lee et al., PMID 22808358