Is it possible to palliate presacral recurrences of rectal cancer in patients who previously received neoadjuvant chemoradiation to the rectum?
In the past, I haven't seen great results in palliating the presacral area. The pain is excruciating for many patients. Is there an effective option for re-irradiation? SBRT? Hyperfractionation?
Answer from: Radiation Oncologist at Community Practice
Our institution has reported on a small series of presacral recurrences in previously treated patients with SBRT with good response and palliation.http://www.ncbi.nlm.nih.gov/pubmed/22269400