When would you consider radiation for a Sertoli-Leydig tumor of the ovary with a bulky mass and peritoneal metastases after surgery and BEP chemotherapy?

With peritoneal mets, I would treat only for palliation. If it was an isolated recurrence, then I would have done definitive RT.

I would not use whole abdominal RT, and I probably would not use RT at all. If there is a focal problem, such as the large pelvic mass, that is symptomatic, using RT with palliative intent is reasonable. Dose and fractionation would be dependent on a number of factors. For example, it is likely that...