How would you manage a small posterior vaginal defect noted at the time of cervical brachytherapy?
Patient being treated for cervical cancer noted to have a <1 cm posterior vaginal fornix defect with a small focus epiploica herniating into the vagina. Treating can result in a fistula; not treating may mean disease progression.
3 Answers
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
If it is from a disease, I would continue brachy as planned and address the defect based on response and healing.
If unrelated to disease, I would have it sutured and continue brachy as planned.
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Radiation Oncology · Washington University School of Medicine
Answered on
I agree with Dr. @Dr. First Last and his wise recommendation. However, I would like to see the results of a biopsy of the suspected site.
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Radiation Oncology · Radiotherapy Cancer Center (RTCC)
Answered on
If it is a tumor regression cavity that had a complete clinical response and no fistula at the moment. What dose and technique would you recommend?
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