Health Condition 1: null- Cancer of the uterine cervix patient
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Cancer of the uterine cervix considered suitable for curative treatment with definitive radio-(chemo) therapy including MRI guided Brachytherapy. •Positive biopsy showing squamous-cell carcinoma, adenocarcinoma or adeno-squamous cell carcinoma of the uterine cervix. •Stage IIB/IIIB according to FIGO and TNM guidelines •Suitable for Brachytherapy boost •MRI of pelvis at diagnosis is performed •MRI, CT or PET-CT of the retroperitoneal space and abdomen at diagnosis is performed to rule out para-aortic lymphnode metastasis. •Patient informed consent
Exclusion criteria
Exclusion criteria: 1.Other primary malignancies except carcinoma in situ of the cervix and basal cell carcinoma of the skin. 2.Metastatic disease 3.Previous pelvic or abdominal radiotherapy 4.Previous total or partial hysterectomy 5.Combination of preoperative radiotherapy with surgery 6.Patients receiving BT only 7.Patients receiving EBRT only 8.Patients receiving neoadjuvant chemotherapy 9.Contra indications to MRI 10.Contra indications to BT 11.Active infection or severe medical condition endangering treatment delivery. 12.Pregnant, lactating or childbearing potential without adequate contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute benefit in local control rates by 10% for FIGO IIB and IIIBTimepoint: 7 years | — |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in grade 3/4 late toxicities from 10% to 5% (by 50%) Pelvic control rates Distant Failures Progression free & cause specific survival Overall survival QOL life scores Timepoint: 7 years | — |
Countries
India
Contacts
Tata Memorial Hospital