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Radiation Oncology

Radiation Oncology

Expert insights on radiation treatment planning, techniques, toxicity management, and multimodal cancer care.

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How would you optimally manage a small solitary plasmacytoma of the alveolar ridge, including minimizing the risk of dental toxicity?

2
1 Answers

Mednet Member
Mednet Member
Radiation Oncology · Duke University Medical Center

The alveolar ridge is an osseous structure (extension of the mandible and maxilla) that houses the sockets of the teeth. Assuming an appropriate work-up demonstrates no evidence of multiple myeloma (bone marrow biopsy, PET-CT/MRI, laboratory work, etc.), a plasmacytoma arising in this region would b...

Is it safe to give spine SBRT after recent cryoablation?

2
1 Answers

Mednet Member
Mednet Member
Radiation Oncology · Memorial Sloan Kettering Cancer Center

There is a small randomized trial (CROME) of SBRT vs Cryo + SBRT open at MD Anderson addressing this question. In this trial, SBRT is done within a few weeks of cryotx. The trial is still accruing and results are not available. In lieu of randomized data, I think it would be reasonable to consider S...

For a small (<5 mm) hard/soft palate junctional primary with DOI <2 mm status post limited excision with negative but close deep margin, how would you approach neck management in the adjuvant RT setting?

1 Answers

Mednet Member
Mednet Member
Radiation Oncology · University of Florida

Postop RT to primary plus elective neck RT.