In cervical cancer, is the presence of parametrial LNs with ITCs considered parametrial disease requiring adjuvant chemo +/- RT?
In patient with PD SCCA 15mm transverse; 5/20mm invasion; LVSI focally present; margins negative; 0/15 Left pelvic and 0/14 right pelvic LNs.
Answer from: Radiation Oncologist at Community Practice
Depending on the patient's general condition and performance status, I would consider adjuvant treatment with chemoradiation. In this case, although there was a good pelvic lymph node dissection with 29 negative right and left pelvic nodes, there are positive parametrial nodes with ITC. One could co...
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Answer from: Radiation Oncologist at Academic Institution
This is a well staged patient.
Yes, I agree and would offer chemoradiation therapy.