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Radiation Oncology • Gastrointestinal Cancers
What would be the recommended management for patients with rectal adenocarcinoma with rectovaginal fistula at presentation?
Would preop RT still be the treatment option for these kind of patients? Assuming that the rectovaginal fistula was from tumor progression.
Answer from: Radiation Oncologist at Community Practice
Agree with Dr. @William M. Mendenhall that would request a temporary diverting colostomy before proceeding with preoperative chemo-radiation. For patients with T3N0-N+ lesions, would use an IMRT approach to deliver 45Gy/25Fx to extended field and 50.4-54 Gy in boost field; for those with T4N0-N+ les...
Thank you! Will you recommend long course chemoRT ...
50.4/28 or 25/5 if mobile or tethered. 59.4 at 1.8...