Is there a scenario in which you would consider neoadjuvant radiation for rectal cancer after previous definitive radiation for prostate cancer?
Especially consider a situation where surgical excision alone is not appropriate.
What if the radiation was LDR or HDR brachytherapy?
Answer from: Radiation Oncologist at Academic Institution
I am inclined to refrain from administering neoadjuvant radiation therapy for rectal cancer in a patient who has previously received definitive radiation therapy for prostate cancer. Instead, for these individuals, neoadjuvant chemotherapy followed by surgery appears to be a more suitable course of ...
Answer from: Radiation Oncologist at Academic Institution
Thank you Dr. @Lin for your insights. I wanted also to draw attention to a couple of older questions that also offer good discussion on this topic:
https://www.themednet.org/question/688
https://www.themednet.org/question/12095
https://www.themednet.org/question/4401
And for a more palliative ap...
Comments
Radiation Oncologist at University of Nebraska Medical Center Thanks, @Jessica for all links.
Radiation Oncologist at Washington University School of Medicine I would examine this patient prior to any therapy ...
Radiation Oncologist at University of Nebraska Medical Center Thanks, Dr. @Myerson. Certainly, on occasion, I al...