Is it feasible to give pelvic radiotherapy in patients with a congenital, functioning, pelvic kidney?
Is it possible to spare and minimize kidney dose?
Answer from: Radiation Oncologist at Academic Institution
Agree with @Sushil Beriwal
Pelvic kidney is not necessarily a contraindication to radiation with modern (e.g. IMRT) RT planning
Lots of teaching cases and case series
For these patients, we first make sure treatment to the pelvis is absolutely necessary. Treatment planning is done with high prior...
Answer from: Radiation Oncologist at Community Practice
It is feasible based on target ( nodal RT or not ) and location of pelvic kidney. We try to underdose nodal RT on side of pelvic kidney with reduced or no PTV margin if treatment is prophylactic . Try to keep mean dose to 8 Gy or less