How do you approach treatment for isolated vaginal cuff recurrence of endometrial cancer in a patient previously treated with adjuvant vaginal cuff brachytherapy?

Topics: Radiation Oncology • Gynecologic Cancers

Does time since adjuvant cuff brachytherapy influence your radiotherapy approach, (for example 18 months vs 5 years)? Do you adjust your bladder/bowel/rectal constraints?

Answer from: Radiation Oncologist at Community Practice

We take previous brachy dose into account. If the patients have a CT based plan from their previous brachy, then we calculate the 2 cc dose to rectum and bladder from previous RT. Based on that dose, we deliver 30-36 Gy to pelvis including entire vagina, paravagina and nodes with EBRT, and after tha...

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Radiation Oncologist at Varian Medical Systems/Allegheny health network
https://pubmed.ncbi.nlm.nih.gov/30600093/this is o...

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