Adjuvant Therapy In Uterine Sarcomas

ADJUVANT THERAPY IN UTERINE SARCOMAS Dr. T. Sujit A M O ( Radiation Oncology ) Valavadi Narayanaswami Cancer Centre, G.Kuppuswamy Naidu MemorialHospital, Coimbatore - 641037, Tamilnadu, India May 2007

PROGNOSTIC FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

PATTERNS OF FAILURE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADJUVANT MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ADJUVANT MANAGEMENT ,[object Object],PALN + ve PALN - ve Consider Pelvic RT and/or Vaginal brachytherapy and/or Chemotherapy Consider whole abdominopelvic RT ( except LMS ) Chemo Chest CT ± biopsy scalene nodes Whole abdominopelvic RT or Pelvic and para-aortic RT or Chemotherapy or - VE + VE

ADJUVANT MANAGEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

RADIOTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

BRACHYTHERAPY NORMAN SIMON APPLICATORS

BRACHYTHERAPY ,[object Object]

POST – OP BRACHYTHERAPY ,[object Object],AFTER 45 – 50 Gy EBRT: 5 -6 Gy x 3 fractions for HDR or 15 Gy in a single fraction for LDR

CHEMOTHERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HORMONE THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object]

Adjuvant Therapy In Uterine Sarcomas

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Adjuvant Therapy In Uterine Sarcomas