What pelvic fields do you treat for patients with FIGO IA2-IB cervical cancer patients who inadvertently get a simple hysterectomy but with lymph node sampling (for presumed endometrial carcinoma)?

Topics: Radiation Oncology • Gynecologic Cancers • Cervical Cancer

In the setting of a negative lymph node sampling, would you treat a full pelvis or mini-pelvis to compensate for lack of the appropriate surgery? Is a vaginal cuff boost mandated?

Answer from: Radiation Oncologist at Academic Institution

This situation used to be referred to as a "cut-through" hysterectomy (even though the surgeon did not cut through tumor). The devil is in the details for something like this. How thorough was the dissection? How deep the invasion? However, some generalizations can be made. The upper 1/2 of the vag...

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Radiation Oncologist at New York Cancer and Blood Specialists
I recommend different Brachytherapy dose ,I use 50...

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