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13 Cards in this Set
- Front
- Back
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PORT for Head and Neck: Indications for use of concurrent chemotherapy
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1. ECE
2. Close or Positive surgical margins |
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Post-mastectomy RT: General Indications
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1. Node positive
2. T3/T4 tumors 3. Close or positive margins |
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Whole Liver RT: Indications
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1. Symptomatic patients with several liver nodules who are not candidates for other therapies
2. 3 Gy x 7 fractions |
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Pineoblastoma: General Management
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1. Treat like medulloblastoma
2. Maximal safe resection 3. CSI (23.4 to 39 Gy) 3. Local boost to 54-55.8 Gy 4. Chemotherapy 5. SRS boost (optional if gross residual) |
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Pineocytoma: General Management
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1. Treat like low-grade glioma
2. GTR then observe 3. If STR, PORT to residual + 1.0-1.5 cm for CTV. 50-55 Gy. |
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T1 N 0 Glottic cancer
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1. Definitive RT
2. RAO/LAO, 63 gy at 2.25 Gy per fraction in 28 fractions |
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Cervix cancer: Stage IA
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1. Radical hysterectomy
2. Pelvic lymphadenectomy for IA2 3. Conization for IA1 patients who want to maintain fertility |
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Cervix cancer: Stage IB2, IIB and III and IV
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1. EBRT + brachytherapy
2. Concurrent chemotherapy for IB2 or higher or any stage with positive lymph nodes |
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Cervix cancer: Indications for PORT with chemotherapy
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1. Positive lymph nodes
2. Margins < 3 mm 3. Microscopic parametrial invasion |
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Cervical cancer: Indications for PORT
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1. More than 1/3 of stromal invasion
2. LVSI 3. Size is > 4 cm 4. Positive lymph nodes 5. Margins < 3 mm 6. Microscopic parametrial invasion |
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Cervix cancer: Stage IB1 and IIA
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1. Definitive RT or surgery, but complications are higher with surgery
2. PORT if needed, but complications are even higher 3. Choose RT if patient likely to need PORT |
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Partial Breast Irradiation: Advantages of using 3D conformal
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1. Wide availability of technology
2. Excellent coverage of CTV 3. Non-invasive 4. Less inhomogeneity |
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Partial Breast Irradiation: Disadvantages of using 3D conformal
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1. Shortest track record
2. Limitations on identification of the breast cavity 3. Low dose bath of radiation 4. Set up uncertainty |
