Gynae BT 2017

Patterns of regional recurrence after RT

Sub-study on nodal recurrence within EMBRACE (work in progress)

• 1077 patients, all stages cervix cancer, M0

• Overall node control 93 % (at 2 years) – 12 % recurrences in N1 patients – 5 % in N0

• At time of diagnosis majority of pathologic nodes in the pelvis

• At time of first relapse majority at upper field border/PAO

, Percentage of patients with pathologic lymph nodes at time of diagnosis (left) and the percentage of patients with nodal failure (right) per nodal region

Inside the field = problem with dose and detection Outside and marginal = geographical miss

Nomden et al