When do you use a brachytherapy vaginal cuff boost in postoperative cervical cancer treatment?

Topics: Radiation Oncology • Gynecologic Cancers • Cervical Cancer

Close but negative radial margins? LVSI? What fractionation/dose do you use for your vaginal cuff boost if used?

Answer from: Radiation Oncologist at Community Practice

I limit use to close or positive margins, or if the patient has had an incidental simple hysterectomy done instead of a radical hysterectomy.

Comments

Radiation Oncologist at Willamette Valley Cancer Institute
Thanks @Sushil Beriwal. Can you give additional de...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For positive margin, 5 Gy x 3 otherwise, 5 Gy x 2....

Radiation Oncologist at Mon Health
Would you use a different dose and prescription no...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
No

Radiation Oncologist at Mon Health
Do you consider a 2 mm radial margin a close margi...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Usually less than 5mm, I do consider close.

Radiation Oncologist at Mon Health
Thank you

Answer from: Radiation Oncologist at Academic Institution

I agree with @Sushil Beriwal regarding vaginal cuff brachytherapy boost for close or positive vaginal radial margin. We would do so whether it was a simple or a radical hysterectomy given the presence of positive vaginal margin. We would not do the boost just for positive LVSI. Patients receiv...

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