In stage IIIC endometrial adenocarcinoma, does the finding of positive pelvic or para-aortic nodes after lymphadenectomy influence your whole pelvic dose?
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2 AnswersMednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network
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 up to renal ...
Mednet Member
Radiation Oncology · Harold C Simmons Comprehensive Cancer Center/UT Southwestern
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 common...