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Would you alter radiation recommendations for a patient with locally advanced rectal cancer and a history of abdominopelvic lymphoma radiation 40 years ago?
Would the location of the tumor (i.e. ultralow), symptoms (bleeding), or patient resistance to surgery play into this decision?
Answer from: Radiation Oncologist at Academic Institution
In the case of more recent RT, I would get the records in order to inform treatment recommendations. However, records are typically impossible to get in this situation. We have several options here. The first is the avoidance of radiation, as was recently reported in the PROSPECT study. (Schrag et a...
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Answer from: Radiation Oncologist at Community Practice
In general, if the patient did not have the prior therapy, one would recommend adjuvant radiation, and if it would benefit someone else, it would benefit this patient as well, so I would want to give adjuvant radiation if possible. The question then is whether or not the risk of added toxicity outwe...
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Radiation Oncologist at Maimonides Medical Center
Would you consider prone + IMRT to further protect...
Would you consider prone + IMRT to further protect...
Radiation Oncologist at Marshfield Clinic - Rice Lake
In general, I'm not a fan of prone pelvic treatmen...
In general, I'm not a fan of prone pelvic treatmen...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Wouldn't we want to do the chemoradiation prior to...
Wouldn't we want to do the chemoradiation prior to...
Radiation Oncologist at Marshfield Clinic - Rice Lake
The standard of care for "normal" locally advanced...
The standard of care for "normal" locally advanced...