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RT in Cervix Cancer

Definitive/Primary

Bulky IB2/IIA – IVB (PAN only)

Pelvic EBRT (45-50Gy/25-28#) +/- weekly cisplatin

Intra-cavitary brachytherapy (21-28Gy/3-4#)

Adjuvant

High Risk - +ve margins/parametrium/LNs (RT+C)

Intermediate Risk – LVSI, stromal invasion, size (RT alone)

45-50.4Gy/25-28# +/- cisplatin

Salvage – recurrence following surgery

Palliative

Peters (2000)

JCO

Apr; 18(8): 1606-13.

Rotman (2006)

IJROBP May 1; 65(1): 169-76.