What is your strategy for treatment of FIGO IIB cervical cancer in a patient who poorly tolerated the first insertion and refuses subsequent insertions?
Patient is 38yo, has a history of narcotic abuse, and may have an undiagnosed personality disorder.
Answer from: Radiation Oncologist at Community Practice
Not other equivalent options. That being said, I would plan IMRT/IGRT boost with total dose to HRCTV (75-80 Gy) based on dose to rectum, bladder, and small bowel with tight PTV margin.
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Answer from: Radiation Oncologist at Community Practice
Psychological distress is common in cervical cancer patients treated with brachy; it's a painful and scary procedure. At another facility, hospital-based, I've used the OR for all of my tandem and ovoid insertions, with really optimal packing that gave good dose distributions and good patient comfor...
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Radiation Oncologist at Coastal Carolina Radiation Oncology
Thanks for the feedback. In my 13+ years of doing ...
Thanks for the feedback. In my 13+ years of doing ...