When treating endometrial cancer patients with a combination of chemotherapy and vaginal cuff brachytherapy, when do you deliver cuff brachy?
Do you wait until chemotherapy completion, interdigitate between cycles 1-2 only when feasible, or between any cycle of chemotherapy?
What factors would you consider in making this decision?
Answer from: Radiation Oncologist at Academic Institution
Usually by cycle 1 of chemotherapy, the patient has not had sufficient time for vaginal cuff healing. Thus, most of my brachytherapy in these interdigitated scenarios is done between cycles 2 and 3 or between cycles 3 and 4. If physician/departmental scheduling or patient intolerance of chemotherapy...
Do you extend the time between chemo cycles to giv...
No. The goal is to add brachy early on without cha...
Agree with not extending time between chemo cycles...