Please select the option that best describes you:

What dose/fractionation scheme would you employ to palliate a metastatic colon cancer patient with several large painful anterior abdominal wall lesions?

The patient had previously recurred twice in the abdominal wall, and was treated with resection. The patient has developed AML since that time and is no longer a candidate for chemotherapy.

Answer from: Radiation Oncologist at Academic Institution

Due to the prior surgery, there is almost always fixed bowel adherent to these scar/peritoneal recurrences. That is almost always the dose limiting OAR. The fractionation depends on the PS and life expectancy. From the description, the prognosis sounds poor so 20 Gy in 5, 30 Gy in 10, or 35 Gy in 14...

Comments

Radiation Oncologist at Inspira Medical Center
Excellent PS so would be looking for long term con...

Please select the option that best describes you:

What dose/fractionation scheme would you employ to palliate a metastatic colon cancer patient with several large painful anterior abdominal wall lesions?

Related Questions