How would you treat an isolated para-aortic node recurrence 1.5 years after receiving primary chemoradiation for locally advanced cervical cancer?
Answer from: at Academic Institution
Agree with Dr. @Sushil Beriwal, if not previously radiated would definitely consider definitive radiation for this patient in a potentially curative setting. If the area has already received max lifetime dose, could treat with systemic therapy with cisplatin/taxol/bevacizumab) vs evaluate for resect...
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Medical Oncologist at Loyola University Chicago Stritch School of Medicine
Thanks Dr. @Devin T. Miller - could you expand on ...
Thanks Dr. @Devin T. Miller - could you expand on ...
We did laparoscopic resection. Repeat PET-scan pos...
at Virginia Commonwealth University Health System
Thanks for the question @Elizabeth Henry: If appr...
Thanks for the question @Elizabeth Henry: If appr...
Answer from: Radiation Oncologist at Community Practice
This is a variation of a scenario posed in the question. I have a patient who I treated for a node positive IB2 (IIIC2 by today’s staging) cervical cancer for which she completed standard treatment with cis+WPRT&PA nodes+HDR Brachytherapy in 2016. Dose was 4500cGy to whole pelvis and PA no...
Answer from: Radiation Oncologist at Community Practice
Yes, absolutely agree with @Sushil Beriwal and @Devin T. Miller. I have treated these patients with definitive chemoradiation (45/25 + cisplatin), with integrated boost to the gross nodes to 55 or 57.5, OARs permitting.
Close follow up is paramount in these patients afterwards, as the risk of...
Thank you. This is very helpful. J Fred&nbs...
Would your recommendations change if there was a 1...
Would favor regional nodal RT if no prior RT. Woul...
I favor resection of isolated metastasis first the...