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Topics:
Radiation Oncology • Palliation • Medical Oncology • Gastroenterology • Disorders of the Small Intestine
How would you treat a patient with metastatic cancer with a lesion invading the small bowel causing bleeding and potential obstruction?
Is radiation effective in this case and if so, what dose would you use? Is there potential for perforation?
Answer from: Radiation Oncologist at Academic Institution
Radiation reliably relieves bleeding but typically does not relieve obstruction. It may be worth trying if there is not an impending obstruction. We have plenty of experience in rectal cancer that this is a successful strategy. Since it's located in the small bowel, I would use standard fractionatio...
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Answer from: Medical Oncologist at Community Practice
Agree with RT and chemo infusion Al 5fu.