Image-Guided Radiotherapy and Chemotherapy in Gynaecological Cancer

• External beam radiotherapy (EBRT) was initially 3D but since 2011 IMRT is performed. All the cases received 45 Gy over 5 weeks. • In cases with lymph node remanents following lymphadenectomy or findings of extracapsular extension in some lymph nodes, a lymph node boost to 56-60 Gy was carried out after brachytherapy. Patients included in the EMBRACE II study received an integrated boost at a dose of 55-57 Gy according to the pelvic or paraaortic localization, respectively. • Before the availability of combined intracavitary-interstitial applicators, patients with macroscopic residual parametrial disease received a parametrial dose to achieve 60 Gy after brachytherapy, taking into account the parametrial doses of the brachytherapy.

44 d

Nodal boost integrated

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BQ BQ