How would you treat cervical stump SCC involving bladder, pelvic nodes, and port-site metastasis in a patient post-laparoscopic hysterectomy?

No standard approach.

If good KPS, would favor treating with definitive chemo RT with EBRT plus interstitial plus weekly cisplatinum.

For port site recurrence depending on volume, would favor local excision vs. definitive RT dose.

I largely agree with Dr. @Dr. First Last. I'd add a couple of things. First, if the cervical stump remains, my experience is that it is very common to be able to do intracavitary RT for the brachy portion as opposed to just directly going to an interstitial implant. There is typically 2-3 cm of cervical canal left, and sometimes a bit more. This is safer than an interstitial implant (especially in a patient with bladder involvement), and I would prefer it, especially given the second point I would make. Patients with port site metastases do very poorly in my experience, no matter how the port site metastasis is addressed. Presumably, there would be full-thickness involvement of the abdominal wall with the port site metastasis, so I would fa...