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PA node irradiation - prophylactic

441 patients

I-IIb proximal + positive LN, all IIb distal or III

Pelvis vs. pelvis + PA (45 Gy)

Results

No significant difference in local control, OS, DFS

Significantly higher incidence of PA metastases + distant

metastases without local recurrence in pelvic RT group

Patients with high probability of local control can benefit

from EFRT

Haie C, et al. Radiother Oncol. 1988 Feb;11(2):101-12