In the setting of unresectable Ewing's sarcoma in an adult, would you consider boosting to a higher dose?
Specifically, when treating a tumor located in the head and neck region, would you consider treating closer to 64-66 Gy? Or would you be consistent with pediatric's and treat to 55.8 Gy?
Answer from: Radiation Oncologist at Academic Institution
I would not hesitate to dose escalate to 60-64Gy if indicated by other adverse risk factors. I think size, response, and medical condition of the patient are all important in determining if it is appropriate to dose escalate in Ewings. Local control for definitive radiation of vertebral body tumors ...