Do you offer definitive chemoradiation for a primary duodenal adenocarcinoma?

If so, what dose-fractionation regimen do you utilize? What are your target volumes? Would you first recommend induction chemotherapy followed by restaging imaging?

Answer from: Radiation Oncologist at Academic Institution

Rare cancer with murky recommendations and little data. I favor a management pathway similar to pancreas cancer. Neoadjuvant chemotherapy followed by re-imaging. Then resection for clearly resectable disease and radiation therapy for borderline or unresectable disease. Radiation dose: Tradition...

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Radiation Oncologist at Private Practice
How many cms will you use for the internal motion ...

Radiation Oncologist at University of Utah School of Medicine
I use a 4D sim or breath-hold to account for motio...

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Do you offer definitive chemoradiation for a primary duodenal adenocarcinoma?

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