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