Would you offer brachytherapy for a patient with metastatic cervical cancer s/p 30Gy/10 fx to the pelvis followed by chemotherapy who only has isolated disease in the cervix?

Control of central pelvic disease in cervical cancer is a main goal of treatment, regardless of whether the patient has metastatic disease or not. This is important for maintaining quality of life. Death from central pelvic disease is very unpleasant. Therefore, I recommend brachytherapy in this pop...

If that's the only site, that or possibly surgery. It possibly is resectable.

Very reasonable depending on the patient’s performance status. Controlling the local disease is vital for the prevention of symptoms, even more so as systemic options develop.

Most rad-oncs with a large gynecological and advanced cervical cancer practice have done this or something similar. Doses of...

In a patient with diffuse metastatic disease, where a thought of consolidative radiation to all sites of disease was not at play at initial diagnosis, I do not think there would be a clinical benefit of providing brachytherapy in an otherwise asymptomatic patient.

If the thought was to consider cons...