Spatially Fractionated Radiation Treatment for Gynaecological Cancers

This study is evaluating a specialized radiation technique called spatially fractionated radiation therapy (SFRT) for women with gynecological cancers — such as cervical or endometrial cancer — who cannot receive standard internal radiation (brachytherapy) due to complex anatomy, large tumors, or other medical challenges. **You may be eligible if...** - You have cervical cancer after external radiation but brachytherapy is not technically feasible (e.g., due to unusual anatomy, large remaining tumor, or a very narrow vaginal canal) - You have inoperable endometrial cancer unsuitable for anesthesia or with poor brachytherapy coverage expected - You have a large pelvic recurrence after prior treatment that cannot be treated with surgery or brachytherapy - You have medical contraindications that make brachytherapy under anesthesia too risky **You may NOT be eligible if...** - You have an existing fistula (abnormal connection) in the bladder or rectum - You have a pelvic prosthesis - You refuse to provide consent Talk to your doctor to see if this trial is right for you.