How would you manage a localized stage IV squamous cell carcinoma of vagina involving the posterior vaginal wall and full thickness of the anterior rectal wall?

Topics: Radiation Oncology • Gynecologic Cancers

Answer from: Radiation Oncologist at Community Practice

I would get staging scans including PET and MRI and plan for definitive chemo RT with a final boost, most likely with IMRT, to 66 to 70 Gy.

Comments

Radiation Oncologist at John H. Stroger Hospital of Cook County
What bowel constraints/techniques for mitigating h...

at Tulane University School of Medicine
I agree with Dr Beriwal, with the caveat that it w...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Limit 55 Gy volume to less then 10-15 cc.

Radiation Oncologist at UCHealth Radiation Oncology - Anschutz Medical Campus
@Sushil Beriwal, any thoughts on temporary bowel d...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I would not do temporary diversion as risk is not ...

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