Is there a role for a post-operative boost in a patient with rectal cancer who has a positive margin after total neoadjuvant chemo and chemoradiation therapy?
Total neoadjuvant therapy consisted of with FOLFOX and chemoradiation therapy with Xeloda and 50.4 Gy.
Would you deliver a boost to the area and if so, to what dose?
Answer from: Radiation Oncologist at Academic Institution
As is usually the case with questions of this sort there is not just a yes or no answer. First, we rarely use a postop boost as if we have concerns about the circumferential margin on our initial evaluation, we set up the patient for intraoperative RT. IORT has big advantages in giving a very high l...
Comments
Radiation Oncologist at Emeritus Professor Agree in general with @Joel E. Tepper's comments a...
Radiation Oncologist at Memorial Sloan-Kettering Cancer Center There is very good paper from Korea that addresses...
Agree in general with @Joel E. Tepper's comments a...
There is very good paper from Korea that addresses...