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Topics:
Radiation Oncology • Gynecologic Cancers • Gastrointestinal Cancers • Cervical Cancer • Anal Cancer
Would you consider BID treatment for a patient with a pelvic SCC (e.g. cervix or anal) if a significant amount of treatment days have been missed?
For example, a patient with cervical or anal SCC who has missed many treatments due to side effects, low blood counts, hospitalizations, or non-compliance and you do not want to further prolong the overall treatment time. Do you have concerns about small bowel toxicity if you do BID treatment?
Answer from: Radiation Oncologist at Academic Institution
We frequently bid patients for up to 3 fractions to make up for holidays or other breaks in treatment--we have not found this to be a problem, particularly if the bid treatments are space out a bit. We generally require a 6 hour interfraction minimum interval. The maximum number of days we are willi...
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