What would be your radiation boost technique and dose levels for adjuvant treatment of endometrial cancer with high-grade disease or aggressive histology if there was a positive margin at the parametrium after TAH+BSO?

What influences your decision to include a cylinder brachytherapy boost versus a parametrial boost alone with EBRT in this setting?

Answer from: Radiation Oncologist at Community Practice

I usually consider 50.4 Gy with EBRT followed by an additional 5.4 Gy to the parametrial region. Whether this additional boost helps is not known.