Slide 1

Conclusions:

•

Routine para-aortic RT for all high risk patients with cervical

carcinoma is of limited value.

•

Patients with a high probability of local control can benefit from

extended field irradiation, despite an increase in severe digestive

complications.

• No difference in local control, distant metastases

and DFS.

• Incidence of para-aortic metastases & distant

metastases without tumour at pelvic sites was

significantly higher in patients receiving pelvic RT.

• Higher GI complications in PAo RT group (3.5% vs

8% at 4 years : p= 0.005)