How would you treat cervical stump SCC involving bladder, pelvic nodes, and port-site metastasis in a patient post-laparoscopic hysterectomy?
2 Answers
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network
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.
Mednet Member
Radiation Oncology · University of Kentucky
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 cerv...