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Under what circumstance do you offer a definitive approach to local treatment of a patient with oligomestastatic cervical cancer found on initial staging PET/CT?

For example, assuming an excellent performance status, would you consider local radiation to the primary and metastasis in someone with a single SCV or mediastinal node? Would a single brain or lung metastasis be a deterrent for local pelvic treatment? Would you still consider brachytherapy as part of the treatment?
2 Answers
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Radiation Oncology · UAB Department of Radiation Oncology
Answered on

FIGO stage IVB Cervical Cancer

Cervical cancer spreads in an orderly fashion predominantly via the lymphatic system and subsequently hematogenous spread to the lung and elsewhere.

The FIGO stage IVB cervical cancer includes those with distant nodal metastases (para-aortic or supraclavicular lymph node...

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Radiation Oncology · Wake Forest University School of Medicine
Answered on

How about oligometastasis with the liver?

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