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Topics:
Radiation Oncology • Genitourinary Cancers
Would you offer definitive XRT for muscle invasive bladder cancer arising within a bladder diverticulum?
For patients who are not surgical candidates and have MIBC involving a moderate to large bladder diverticulum, do you consider it safe to offer concurrent chemoradiation or radiotherapy alone? Is there a risk of bladder perforation?
Answer from: Radiation Oncologist at Academic Institution
A diverticulum is a common location for bladder cancer to arise. I am not aware of any association between RT diverticula and increased risk of bladder perforation. I have personally never had an issue treating diverticula to full dose (either 64 Gy in 2 Gy fractions or 55 Gy in 20 fractions) in ter...
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Answer from: Radiation Oncologist at Community Practice
I don’t understand the question. There is no muscle in bladder diverticulum. So how can a patient have MIBC in a tick?
Comments
Radiation Oncologist at Munson Medical Center
I don't want to speak for the author of the questi...
I don't want to speak for the author of the questi...
Radiation Oncologist at The Ottawa Hospital
I agree with you fundamentally but I've been sent ...
I agree with you fundamentally but I've been sent ...