When would you recommend surgical debulking of pelvic or para-aortic lymph nodes in cervical cancer prior to definitive chemoradiation therapy?   

Do you use size criteria (i.e. bulky nodes over 3 cm), specific adverse histology (adenocarcinoma), or location (near small bowel), etc. 

Answer from: Radiation Oncologist at Community Practice
Radiation Oncologist at Medical College of Wisconsin
Patients with bulky adenopathy pose a challenge an...
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Answer from: Radiation Oncologist at Academic Institution