open access

Vol 23, No 6 (2018)
Special Issue Papers
Published online: 2018-11-01
Submitted: 2018-01-29
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The role of para-aortic nodal irradiation in cervical cancer

Adela Poitevin Chacón, Jessica Chavez-Nogueda, Rubí Ramos-Prudencio, Michelle Aline Villavicencio-Queijeiro, Francisco Lozano-Ruiz
DOI: 10.1016/j.rpor.2018.09.009
·
Rep Pract Oncol Radiother 2018;23(6):540-546.

open access

Vol 23, No 6 (2018)
Special Issue Papers
Published online: 2018-11-01
Submitted: 2018-01-29

Abstract

The current standard of care for locally advanced cervical cancer is whole pelvis and para-aortic radiation when indicated, delivered concomitantly with chemotherapy and brachytherapy. Para-aortic node involvement is a predictor of survival in locally advanced disease but presence of metastases is difficult to determine because the currently available imaging methods lack enough sensitivity to be able to detect accurately para-aortic metastases when surgical staging is not feasible. The objective of this review is to describe the current status of para-aortic lymph node irradiation in locally advanced cervical cancer. It includes analysis of the diagnostic imaging and surgical approaches for assessment of para-aortic lymph node dissemination, together with indications for radiotherapy and radiotherapeutic techniques.

Abstract

The current standard of care for locally advanced cervical cancer is whole pelvis and para-aortic radiation when indicated, delivered concomitantly with chemotherapy and brachytherapy. Para-aortic node involvement is a predictor of survival in locally advanced disease but presence of metastases is difficult to determine because the currently available imaging methods lack enough sensitivity to be able to detect accurately para-aortic metastases when surgical staging is not feasible. The objective of this review is to describe the current status of para-aortic lymph node irradiation in locally advanced cervical cancer. It includes analysis of the diagnostic imaging and surgical approaches for assessment of para-aortic lymph node dissemination, together with indications for radiotherapy and radiotherapeutic techniques.

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Keywords

Uterine cervical neoplasms; Lymph nodes; Para-aortic nodal irradiation; Female

About this article
Title

The role of para-aortic nodal irradiation in cervical cancer

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 23, No 6 (2018)

Pages

540-546

Published online

2018-11-01

DOI

10.1016/j.rpor.2018.09.009

Bibliographic record

Rep Pract Oncol Radiother 2018;23(6):540-546.

Keywords

Uterine cervical neoplasms
Lymph nodes
Para-aortic nodal irradiation
Female

Authors

Adela Poitevin Chacón
Jessica Chavez-Nogueda
Rubí Ramos-Prudencio
Michelle Aline Villavicencio-Queijeiro
Francisco Lozano-Ruiz

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