What dose do you recommend for an oligometastatic bone metastasis involving the glenoid?
Is 1000 cGy x 3 fractions to a portion of glenohumeral joint safe?
Answer from: Radiation Oncologist at Academic Institution
For a bone lesion close to a ball and socket joint, I tend to use 35 Gy in 5 fractions in order to decrease the risk of damage to the cartilage. I usually expand 5 mm from GTV to generate a CTV with trimming of the portions that go beyond the bone if no extraosseous extension. I also expand a 2-3 mm...