With vaginal cuff brachytherapy, do you treat to active or treatment length?

There is no consensus what length to treat. The data for 2 to 5 cm appears to have similar outcomes. We treat 3 cm length so we have 7 dwell positions but as the rectovaginal septum thins out in the mid and lower vagina, the depth of prescription of 5 mm is usually in upper 2 cm or so only. Beyond t...

Usually not with patient who needs brachy alone. If patient needs EBRT, then in these patients, I treat entire length with EBRT.