Gynae BT 2017
What do we know about dose to pathological nodes?
In literature still some uncertainty !
• Escalation typically recommended up to 55-60Gy
Grigsby PW, et al Int J Radiat Oncol Biol Phys 2001, 49(3):733–738. Beadle BM, et al Int J Radiat Oncol Biol Phys 2010, 76(5):1396–1403.
• SIB IMRT – 55Gy/25# with option of sequential boost -10Gy/5#
• FDG avid nodal disease -62Gy/31# SIB
Pelvic nodal control in N1 EMBRACE patients: 7%
Courtesy Ina Jürgenliemk-Schulz
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