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Radiation Oncology • Gynecologic Cancers
When would you consider radiation for a Sertoli-Leydig tumor of the ovary with a bulky mass and peritoneal metastases after surgery and BEP chemotherapy?
What field and dose would you recommend? Would you consider whole abdominal?
Answer from: Radiation Oncologist at Community Practice
With peritoneal mets, I would treat only for palliation. If it was an isolated recurrence, then I would have done definitive RT.
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Answer from: Radiation Oncologist at Academic Institution
I would not use whole abdominal RT, and I probably would not use RT at all. If there is a focal problem, such as the large pelvic mass, that is symptomatic, using RT with palliative intent is reasonable. Dose and fractionation would be dependent on a number of factors. For example, it is likely that...