Gynae BT 2017

Dose to macroscopic nodal disease

208 patients, all stages cervix cancer

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• Lymph node status defined by CT and PET – all enlarged nodes and some small ones were PET positive and were boosted Pelvis – Doses level depending on node size – Overall rather high doses 67 – 74 Gy •

PAO – Lower dose, mean 45, max 60 Gy

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Excellent node control

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Above 60 Gy to much ?