How do you treat cervical cancer with an ovarian metastasis?
Considering this is stage IV disease, do your recommendations for definitive or adjuvant treatment (after surgery) change?
Answer from: Radiation Oncologist at Community Practice
This is a data free zone but several papers report a very poor prognosis for these patients. For a limited ovarian met with pelvic localized disease, one may consider chemoradiation and add adjuvant chemotherapy (to follow) but these patients generally fail systemically. Hence, chemotherapy should b...
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Answer from: Radiation Oncologist at Community Practice
If not felt to be sterilizable, can discuss minimally invasive RSO/LSO with gyn onc then definitive chemoradiation followed by chemo +/- pembrolizumab if CPS+, given the high risk of peritoneal and distant disease.