Topics:
Radiation Oncology • Gynecologic Cancers
How do you approach boosting a distal vaginal tumor (residual thickness >5mm) abutting the rectum?
EBRT boost only? SBRT? If you recommend interstitial brachytherapy do you place needles freehand or with a template based approach?
Answer from: Radiation Oncologist at Community Practice
I have used multichannel cylinder with or without freehand or template based on location and residual thickness. The needle would not be in rectum or abutting rectum as that would create hot spot in rectum increasing risk of complications significantly
Need to make sure no hot spot in rectum and pr...
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