How do you manage radiotherapy for a glioblastoma when there is a delay in starting systemic therapy?
Temodar can sometimes take 2-3 weeks to arrive after prior approval. Would you start radiotherapy without Temodar or wait for it to arrive and begin concurrently?
Answer from: Radiation Oncologist at Community Practice
It depends on whether we are discussing a post op vs unresectable patient.It is okay to delay in post op imo up to 4-6 weeks out after a GTR. I would not start within 2 weeks after biopsy regardless of temodar authorization in an unresectable patient. https://www.ncbi.nlm.nih.gov/pubmed/1911469...