How do you manage a cervical cancer that needs interstitial brachytherapy with prolonged thrombocytopenia after concurrent chemoRT?

How long is too long to wait for recovery? Is there a role for pre-procedure platelet transfusion and/or alternatives to epidural anesthesia?

Answer from: Radiation Oncologist at Community Practice

Although infrequent, we have done pre op plt transfusion to make brachytherapy feasible and to avoid prolonging the total duration.

Comments

Radiation Oncologist at Medical College of Wisconsin
I would agree. We have done the same thing. Always...