How would you manage treatment of a cervical cancer in a patient unable to tolerate chemotherapy or an HDR boost due to medical commodities?

The first step is to be absolutely certain that brachytherapy is not feasible. In our experience this is extremely rare. The patient should have a thorough medical evaluation and have their medical conditions optimized as much as possible before the decision is made to withhold these standard elemen...

I would reiterate what Dr, Eifel stated – it should be extremely rare not to be able to provide brachytherapy. In 24 years of treating cervical cancer, I have never not delivered brachytherapy for a medical comorbidity.

I would emphasize one other point made in @Dr. First Last's response. We cured many patients with cervical cancer using RT alone, before concurrent chemotherapy became standard. If a patient cannot receive or doesn't accept chemotherapy as part of the treatment, cure is still possible, even likely, ...