What indications do you use to prophylactically treat para-aortic lymph nodes in cervical cancer?
Do you treat PAs if pelvic nodes are positive? If common iliacs are involved? Only if there are positive PA nodes?
Answer from: Radiation Oncologist at Academic Institution
The answer to this question is not simple although there are some general rules that we use. First, I should mention that for patients with locoregionally advanced disease, we now usually treat to the bifurcation of the aorta as a minimum. This generally puts the upper border close to L3/L4. &...
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Answer from: Radiation Oncologist at Community Practice
Our philosophy is based on PET/CT findings in patients who have had no surgical staging.
If the PET/CT is negative for any nodes, then we treat up to the common iliac nodes (the likelihood of a false negative PET for PA nodes in this setting is less than 10 percent).
If the PET/CT is positive for ...