How would you treat oligoprogressive metastatic GIST to the liver with a single enlarging liver lesion while on imatinib and no other evidence of active disease, where surgery and RFA are not possible?
If you would recommend radiation therapy, what dose-fractionation would you utilize?
Answer from: Radiation Oncologist at Academic Institution
Please refer to my answer for "Adjuvant RT in GIST" in the Sarcoma section for complete details, but as relative to this question:
In the palliative setting, I have radiated a handful of GIST patients who either had painful bone mets or a tumor of the liver with limited other options. If you review...