AROI-ESTRO GYN Teaching Course

• 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)

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