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Topics:
Radiation Oncology • Gastrointestinal Cancers • Liver and Pancreas Tumors • Gastroenterology • General Gastroenterology
What is your general approach to treating bleeding gastric masses with palliative RT?
Do you have any preferred dose fractionation schedules? What kind of margins do you use?
Answer from: Radiation Oncologist at Community Practice
We once had a patient with stage IV NHL who had transfusion-dependent bleeding from a pesky gastric mass that was chemo-resistant. It turned into a fatal complication, so it was presented as an educational case at ASTRO. We gave 4 Gy x 1 which stopped the bleeding within 24h, and switched to 3 Gy x ...
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Answer from: Radiation Oncologist at Community Practice
In my experience, I have often used 300 cGy x 10 if carcinoma type tumor, but lower daily dose (200-250 cGy) if lymphatous type tumor.Again -> I now try to always consider "Goals of Care" issues like... the extent of cancer/extent of repeated transfusions/patients' performance status/life expecta...
Answer from: Radiation Oncologist at Academic Institution
Although I've never seen a gastric perforation, even in the extensive preoperative chemoradiation experience from M.D. Anderson, I agree with the comments above. I usually give 30 Gy in 10 fx to a generously contoured GTV with a 15 mm PTV margin.
Sometimes bleeding happens in patients with localize...
Comments
Radiation Oncologist at Cancer Care North West
In individuals with advanced disease or who have f...
In individuals with advanced disease or who have f...
Radiation Oncologist at Mon Health
Should I do an IGTV with abdominal compression?
Should I do an IGTV with abdominal compression?