Adjuvant Vaginal Cuff HDR Brachytherapy Prescribed to an Active Length of Two Centimeters Using Suspender Immobilization: A Baylor Scott & White Experience

Following hysterectomy for endometrial and cervical cancer, recurrence is common in the vaginal cuff. The American Brachytherapy Society recommends prescribing to an active length (AL) of 3-5 cm (AL) with vaginal cuff brachytherapy (VCB) following hysterectomy (Gaffney D, et al. Brachytherapy 2012). The most common fixed and fractional length prescriptions in endometrial cancer are 4 cm or the proximal half of the vagina, respectively (Small W Jr, et al. Brachytherapy 2016). Length of vagina irradiation is associated with toxicity (Smeds AC et al.
Source: International Journal of Radiation Oncology * Biology * Physics - Category: Radiology Authors: Source Type: research