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Topics:
Radiation Oncology • Palliation
Do you offer palliative whole liver radiation for patients with diffuse liver metastases?
What dose-fractionation scheme do you utilize? Are there particular groups of patients this would not be a good option for (i.e. histologies of disease, Child-Pugh score)?
Answer from: Radiation Oncologist at Academic Institution
I have also found palliative whole liver (or nearly whole liver) radiation to provide effective palliation for patients with a very extensive liver disease burden and pain due to distension of the liver capsule. I have generally used this only in patients who no longer have any systemic therapy opti...
Comments
Radiation Oncologist at Mayo Clinic, Rochester
I agree with Dr. @Harvey J. Mamon with the caveat ...
I agree with Dr. @Harvey J. Mamon with the caveat ...
Radiation Oncologist at Dattoli Cancer Center
This is extreme hypofractionation and I suggest ca...
This is extreme hypofractionation and I suggest ca...
Radiation Oncologist at Cancer Care Centers of Brevard
Dr. @Michael J. Dattoli beat me to it. If your goa...
Dr. @Michael J. Dattoli beat me to it. If your goa...
Answer from: Radiation Oncologist at Community Practice
Great discussion on whole liver RT. I am wondering if anybody ever used 20-30 Gy in 10 fractions whole liver RT we did 3 decades ago.
Thanks, Dr. @Dawn Owen for the nice summary o...
Agree with Drs. @Dawn Owen and @Laura Dawson! Ano...
Are you holding systemic therapy while treating wh...
I do hold systemic therapy, especially cytotoxic c...
@Laura Dawson and @Dawn Owen, would you consider f...
Thank you for the excellent answer, @Dawn Owen. I ...