Patients with gynecological cancers are seen at the Radiation Oncology Clinic - Moncrief by direct referral, or in conjunction with the multi-disciplinary oncology program at UT Southwestern. Special programs exist for treatment of both common and uncommon gynecological malignancies.
The most common gynecological cancer, endometrial cancer, is coordinated through a multidisciplinary team comparing the options of post-surgical observation, surgery alone, and a variety of radiation therapy strategies. The facilities enable the use of a high dose rate (HDR) remote after-loading irradiation delivery device. This system, coupled with the physician’s expertise, allows highly conformal high dose brachytherapy implantation of areas involved or at risk for cancer infiltration. All of this is done with the comfort and convenience of an outpatient treatment.
The center offers 3-D conformal radiotherapy, intensity-modulated radiation therapy (IMRT), and combinations of these therapies. A similar approach is used for other gynecological cancers including cervical cancer, vaginal cancer, vulvar cancer, ovarian cancer, and uterine sarcomas.
Ongoing research is helping our department develop new treatments for gynecological cancers. In addition to the use of the most modern radiotherapy, we have implemented prudent use of chemotherapy concurrent with radiation and are designing trials to address making treatments less toxic. We also participate in cooperative group trials such as RTOG, GOG, and CALGB to offer patients the most modern therapies.