The role of para-aortic nodal irradiation in cervical cancer
- Resource Type
- Authors
- Michelle Aline Villavicencio-Queijeiro; Francisco Lozano-Ruiz; Adela Poitevin Chacón; Jessica Chavez-Nogueda; Rubí Ramos-Prudencio
- Source
- Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology. 23(6)
- Subject
- Cervical cancer
Chemotherapy
medicine.medical_specialty
030219 obstetrics & reproductive medicine
Nodal irradiation
business.industry
medicine.medical_treatment
Brachytherapy
Special issue paper
Whole-Pelvis
medicine.disease
Radiation therapy
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Oncology
030220 oncology & carcinogenesis
medicine
Medical imaging
cardiovascular system
Radiology, Nuclear Medicine and imaging
Radiology
business
Lymph node
- Language
- ISSN
- 1507-1367
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.