Gynecologic Cancers

Brachytherapy

Questions discussed in this category

What is your approach to a patient with locally advanced cervical cancer who presents with a fistula (rectal or bladder)?

Do you recommend upfront diversion? Are there unique planning considerations such as the inability to use bladder filling? How do you boost? What are ...

1 Answer available

Do you give vaginal cuff brachytherapy or whole pelvis (or both), for patients with Stage III endometrial adenocarcinoma?

5 Answers available

How do you sequence vaginal cuff brachytherapy with EBRT for post-op endometrial or cervical cases that require both modalities?

Sequentially or do you integrate the cuff brachy with the EBRT and if so what schedule, BIW, weekly, etc?

3 Answers available

Do you take patients off anticoagulation for tandem and ovoid or tandem and ring procedures?

1 Answer available

What is your approach to a cervical SCC patient in which you're unable to properly place a T&O, due to obliterated cervical os, after completion of EBRT?

Do you add an IMRT boost with possibly vaginal brachytherapy?

2 Answers available

What is your protocol for conscious sedation during T&O insertion?

What are your specific protocols for monitoring and for dosing narcotics and sedatives?

2 Answers available

Are there instances where you prefer a SBRT boost rather than a brachytherapy boost when treating definitive locally advanced cervical cancer?

If so, what dose/ volume is prescribed? How do you account for motion?

1 Answer available

What criteria do you use when choosing an applicator system for cervical brachytherapy patients?

For example, how do you decide between applicators such as tandem and ovoid versus tandem split ring insertion for cervical brachytherapy patients?&nb...

1 Answer available

Do the number of lymph nodes removed in a non-Stage IA/FIGO 1 endometrial cancer case, affect your decision for WPRT v. vaginal brachytherapy alone?

1 Answer available

What small bowel dose constraints do you use in gyn brachytherapy?

The most recent ABS guidelines don't discuss a dose constraint for the small bowel.

3 Answers available

What dose constraint do you use for the female urethra in gynecologic brachytherapy?

Do the urethral constraints used in prostate brachytherapy apply to women undergoing gyn brachy?

1 Answer available