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Topics:
Radiation Oncology • Gastrointestinal Cancers • Medical Oncology • Liver and Pancreas Tumors
Do you offer adjuvant treatment for resected colloid pancreatic carcinoma?
Colloid is a rare histologic subtype and considered to have more favorable outcomes compared with usual ductal adenocarcinoma, but no dedicated prospective RCTs to guide decision making.
Answer from: Radiation Oncologist at Academic Institution
I rarely offer adjuvant radiation for typical pancreatic ductal adenocarcinoma except in cases of positive margins, and then only after an adequate duration of chemotherapy has been given. Therefore, I do not think adjuvant radiation therapy should be routine in colloid pancreatic carcinoma, which i...
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Answer from: Radiation Oncologist at Community Practice
Agree with @Shane Lloyd in that I would not recommend post-operative RT particularly if resected with negative margins. Our group does typically recommend adjuvant systemic therapy for colloid carcinoma acknowledging that the strength of recommendations are lower, the disease is more indolent with c...