How would you treat an elderly patient with T1 glottic laryngeal cancer who refuses 28 fractions?

Would you offer SBRT (42.5 Gy in 5 fraction regimen off trial with or without Cyberknife)?

Answer from: Radiation Oncologist at Academic Institution

I would suggest using 52 Gy in 16 fractions. This is NCCN-supported for T1 glottic lesions and has a long track record of success and tolerability (Gowda et al., PMID 12972304). I have used this regimen exclusively with VMAT. That said, it predates IMRT and 3-D conformal is very reasonable. I would ...

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Radiation Oncologist at Lake Huron Medical Center
Dr. @Lester - you treat the same volume you w...

Radiation Oncologist at Mayo Clinic
Same volume.

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How would you treat an elderly patient with T1 glottic laryngeal cancer who refuses 28 fractions?

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