Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

Summary literature “radiograph-era”

• Approximately 2/3 of recurrences at vault • Effectiveness of ovoid, ring • Higher dose and treating more length increases morbidity

➢ Suggests that proximal 1/3 is long enough (3-4cm)

➢ PORTEC-2 & Swedish trial: • Vaginal recurrence 2-3% • Low rates of morbidity