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Topics:
Radiation Oncology • Gastrointestinal Cancers
What is your approach to high-grade neuroendocrine tumor of the stomach?
Specifically, in the case of a complete response following chemotherapy, do you approach with resection or radiation? If you are treating with RT, what dose and volume do you typically use?
Answer from: Radiation Oncologist at Community Practice
I had a recent patient with this clinical picture with disease limited to the stomach. We chose a tri-modality approach. I delivered 45 Gy in 20 Fx with chemotherapy for small cell and treated the FDG avid disease in the stomach with a margin. The MDC recommendation was for surgery. They underwent s...
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