Would you give additional radiation for a positive margin after salvage hysterectomy for a patient with cervical cancer who had initial definitive chemoradiation with EBRT+T&R?
Would you consider additional EBRT or vaginal cuff HDR in a patient with previous tx with EBRT (45Gy) + HDR (30Gy) for a R1 resection with a radial margin (+) at the vaginal cuff and parametria?
Would a Mesonephric Adenocarcinoma histology affect your recommendations?
Answer from: Radiation Oncologist at Community Practice
Patients usually have radical hysterectomy, so repeating surgery is not an option for most cases. I may recommend vaginal cuff brachytherapy in this case.
If considering to treat the positive margin with H...
I would try to give 35 to 40 Gy EQ dose if feasibl...