In stage IIIC endometrial adenocarcinoma, does the finding of positive pelvic or para-aortic nodes after lymphadenectomy influence your whole pelvic dose?

Topics: Radiation Oncology • Gynecologic Cancers

Answer from: Radiation Oncologist at Community Practice

The pelvic or pelvic plus pa dose is 45 Gy in 25 fractions for us but these suspicious nodes we would deliver concomitant boost dose of 55 Gy in 25 fractions . Iif patients have a positive pelvic node and the pa nodes were not assessed surgically we would extend field to cover pa region u...

Comments

Radiation Oncologist at Genesis Healthcare Partners- San Diego
Is there any role for cuff boost in addition to ex...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Not well defined, but it makes a stronger rational...

Radiation Oncologist at CCare
Do you give a higher (than 45Gy) dose if there is ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Usually not, unless concerned about r 1 resection.

Answer from: Radiation Oncologist at Community Practice

We typically utilize 50.4Gy in 28 fractions to the whole pelvic field, with additional sequential or concomittant boost to suspicious nodes (not dissected) based upon size. No boost if the nodes have been removed, unless there is residual disease. PA fields are not routinely added unless high comm...

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