Topics:
Radiation Oncology • Gynecologic Cancers
Would you add a brachytheray boost to a locally advanced cervical cancer after surgical resection and pelvic RT?
What factors influence your decision? Does high grade histology or pathological stage play a role? If the patient received chemotherapy due to +LN, parametrial involvement or +margins, would that influence your decision for a brachytherapy boost?
Answer from: Radiation Oncologist at Community Practice
In general, a brachytherapy boost following external radiation is not standard when treating women for locally advanced cervical cancer post hysterectomy. Neither of the 2 major adjuvant GOG trials (92 and 109) allowed a brachytherapy boost, and even the currently open GOG trial...
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