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Topics:
Radiation Oncology • Gastrointestinal Cancers
Would you use short course radiation for patients with rectal cancer and ulcerative colitis or Crohn's disease?
What about a low lying rectal cancer with involved inguinal lymph nodes?
Answer from: Radiation Oncologist at Academic Institution
Patients with active inflammatory bowel disease have an increased risk of acute and late toxicities after radiation. Wound healing can be delayed. Due to the fact that most patients that were treated with short course in the past have had immediate surgery before the acute reactions even occur and i...
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Answer from: Radiation Oncologist at Academic Institution
In general, I prefer long course in these situations but would offer short course if social issues strongly favor shorter fractionation schedules. Have given 5 fractions short course (frog legged) for +inguinal/lateral pelvic nodes (up to 40 Gy/5) in short course with as part of TNT, which was well ...
Answer from: Radiation Oncologist at Academic Institution
No