How would you manage a short-interval (0-3 months) failure in the untreated para-aortic region after definitive treatment of locally advanced cervical cancer?  

Assuming no distant metastases, should this scenario be managed with "sequential" chemoradiation to the para-aortic region with an external beam boost, focal radiation alone (including possible SBRT), or chemotherapy followed by restaging?



Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice