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Topics:
Radiation Oncology • Gastrointestinal Cancers
How would you plan a post-op, distal rectal adenocarcinoma s/p neo-adjuvant chemotherapy and APR with minimal treatment response?
How would your planning be influenced by a possible, single inguinal lymph node metastasis?
Answer from: Radiation Oncologist at Academic Institution
The PROSPECT trial evaluated the omission of radiotherapy from preoperative management for cases that presented with a disease that could be resected with a sphincter-sparing TME. In addition, if the disease responded poorly to preoperative FOLFOX, then patients on that arm were required to receive ...
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Answer from: Radiation Oncologist at Community Practice
It is easy to say what should have happened before the patient comes to see you, but not entirely helpful in treating the patient at hand. This type of situation happens routinely in community practice. Many times, the general surgeon who performed the diagnostic colonoscopy manages who gets the ref...
Comments
Radiation Oncologist at Washington University School of Medicine
This patient received preoperative FOLFOX. The dec...
This patient received preoperative FOLFOX. The dec...
Radiation Oncologist at Lake Huron Medical Center
Sure, but the question is what to do in this situa...
Sure, but the question is what to do in this situa...
Radiation Oncologist at Washington University School of Medicine
I wrote that at the beginning of this chain. Assum...
I wrote that at the beginning of this chain. Assum...
Answer from: Radiation Oncologist at Academic Institution
If you’re considering postop RT, the patient should have received preop RT.