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Radiation Oncology • Gastrointestinal Cancers
How would you treat a oligometastatic para-aortic recurrence 1 year after definitive chemo-radiation for anal cancer?
The recurrence is several adjacent nodes above the prior fields.
Answer from: Radiation Oncologist at Academic Institution
We have successfully treated several patients with either synchronous or metachronous paraaortic nodal mets from anal SCCA with definitive dose chemoradiation. If not in a previously irradiated field- we give 50-58Gy in 25-29 fractions with concurrent cis and 5FU depending on the size of the node an...
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