Brachytherapy INTRODUCTION Brachytherapy plays a critical role in the definitive management of primary and recurrent tumors within the uterus and vagina. As a general principle, to deliver a boost dose…

Monitoring During Treatment INTRODUCTION The treatments administered to patients with gynecologic cancers are among the most complex in a radiation oncologist’s practice. Treatment of gynecologic cancers requires multidisciplinary collaboration, integration…

External Beam Radiation Treatment Planning INTRODUCTION The overarching goal of curative external beam radiation therapy planning is to create a plan that will comprehensively and consistently treat cancerous tissues without…

Applied Anatomy and Target Volume Definition During most of the 20th century, radiation therapy treatment plans were based on external beam fields whose borders were drawn directly on x-ray films….

Preparation for Radiation Treatment Planning INTRODUCTION Some of the most important steps in gynecologic radiation treatment planning occur well before the first radiation field or target volume has been designated….

Principles of Multidisciplinary Management INTRODUCTION Successful treatment of gynecologic cancers depends heavily on the effectiveness of multidisciplinary collaboration. The increasing use of chemotherapy to treat gynecologic cancers and technologic advances…

Interpretation of Clinical Research Results as They Apply to Daily Practice INTRODUCTION Investigators have been evaluating the role of radiation therapy in the management of gynecologic cancers for more than…

Pathology, Molecular Biology, and Etiology of Gynecologic Cancers INTRODUCTION Radiation treatment recommendations for gynecologic cancers are guided primarily by the site of origin and the morphology of the primary tumor….