When, if ever, would you recommend hysterectomy after chemoradiation for patients with locally advanced cervical cancer?

We would never offer a routine hysterectomy unless a planned dose of RT can’t be derived for various reasons (very rare).

If the patient has persistent disease after chemo RT, then they are considered for hysterectomy or exenteration based on extent of residual disease and surgical feasibility.

I agree with @Dr. First Last's answer.

I work at a high volume advanced cervical cancer center. Our tumor board never considers routine hysterectomy after chemoradiation for patients with locally advanced cervical cancer. Should they have persistent disease on treatment completion exam or imaging, w...