Case 4: Cervical Cancer Stage IB1 Treated with 3D Conformal External Beam Irradiation, Concomitant Chemotherapy, and Radiograph-Based Intracavitary Tandem/Ovoid High Dose Rate Brachytherapy

Abstract

After multidisciplinary evaluation, it was decided to offer curatively intended radiochemotherapy using 3D conformal external beam radiation therapy to the pelvis (45 Gy in 1.8 Gy fractions) with 6 courses of concomitantly weekly cisplatin and a boost of high dose rate brachytherapy to the residual tumour, aiming at a total dose of 80 Gy EQD210 at point A. Overall treatment time 7 weeks with brachytherapy delivered in 5 fractions starting in the fourth week of treatment (Figure A.4.2).