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Radiation Oncology • Palliation
How would you treat a bone oligometastasis that required surgical fixation for pathologic fracture?
Do you treat all surgical hardware to a conventional palliative dose? Do you treat the metastasis with SBRT? Would you treat both with a simultaneous integrated boost to gross disease?
Answer from: Radiation Oncologist at Academic Institution
It really boils down to the clinical scenario and the approach of the operation. Any time there is a possibility that the surgical procedure may shove the tumor/ tumor cells into the medullary cavity, one will need to include the whole surgical hardware in the RT field. A cone-down or simultaneous b...
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