What would be your radiation planning (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 parametrial boost alone with EBRT in this setting?
Some options are provided below:
A. Whole Pelvis EBRT (45Gy) + Parametrial boost with EBRT
B. Whole Pelvis EBRT (45Gy) + Cylinder Brachytherapy boost
C. Whole Pelvis EBRT (45Gy) + Parametrial boost with EBRT + Cylinder Brachytherapy