How long of a delay are you willing to accept for vaginal cuff brachytherapy either as primary therapy or as boost?
At what point does the benefit of either post-operative vaginal cuff brachytherapy, or vaginal cuff brachytherapy boost following EBRT for endometrial cancer become negated by time delay?
Would you be willing to offer treatment up to 6 months post-operatively; what is your cut-off and why?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
The absolute benefit of vaginal cuff HDR boost is small and 6 months delay would negate any such benefit.
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Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
Answered on
I would not offer vaginal cuff brachytherapy more than 12 weeks post-surgery for adjuvant therapy.
For patients who have undergone EBRT and were indicated for cylinder boost, I would not proceed with the boost, as a hard cut-off, is likely the same 12 weeks. I would certainly prefer to do the boost ...
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