How would you treat a recurrent ovarian malignant mixed Mullerian tumor on the pelvic side wall?

I would treat with IMRT and IGRT with total dose equivalent to 66 Gy based on OAR dosimetry to buy time without chemo and improve PFS.

My answer would depend mostly on the overall status of disease. The situation is very different if the patient has widespread intraperitoneal disease as opposed to an R0 resection with the situation described. Because the question mentions multiple lines of chemotherapy already given and the patient...