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Radiation Oncology • Genitourinary Cancers
How would you manage a patient with prostate cancer who has a history of total colectomy with primary anastomosis and is not a surgical candidate?
How would you manage the small bowel/prostatic interface? Have you tried SpaceOAR in this context? SpaceOAR + protons? What dose would you escalate to and what constraints would you use for the small bowel?
Answer from: Radiation Oncologist at Community Practice
We favor brachytherapy alone in these patients. One patient we treated recently with history of IBD and J pouch after total colectomy, we tried space OAR which was difficult because of surgical scarring and the space craeted was not as optimal as patients without previous prior surgeries. However, w...
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