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Radiation Oncology • Gastrointestinal Cancers
What is the role of radiation in regionally recurrent gastric cancer?
In a patient who received upfront surgery and chemotherapy who later recurred in the regional nodes, s/p lymphadenectomy, would you offer RT? If so, to what treatment volumes and dose?
Answer from: Radiation Oncologist at Academic Institution
I would treat this like a D2 dissection case that did not receive preoperative chemotherapy. I would treat a large microscopic volume including the tumor bed, gastric remnant and the celiac axis, porta, and splenic nodes. IMRT to 45Gy would probably be necessary in my mind in this case. I would use ...
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