Radiation Oncology
Expert insights on radiation treatment planning, techniques, toxicity management, and multimodal cancer care.
Recent Discussions
In what scenario, if any, would you treat a unilateral neck (vs. bilateral neck) for post-operative oral cavity (in historically midline structures such as oral tongue, FOM etc) SCC patients?
For midline oral cavity structures I always treat bilateral necks. This is true even for well lateralized oral tongue cancers. There is a very rich lymphatic network for oral tongue and floor of mouth and involvement of level 4 while skipping levels 1-3 on the ipsilateral side as well as contralater...
What treatment would you recommend for a 3 cm basal cell carcinoma of the perianal skin with anal canal involvement?
I would confirm with adequate bx that it is not basosquamoid as then management would be chemo RT like anal cancer If indeed it is rare basal call ca and since Anal canal is involved I would treat with RT alone with conventional fractionation to close to 60 Gy like skin cancer
Would you recommend adjuvant chemoradiation for a resected ampullary adenocarcinoma?
There is no clear cut answer to this question. There is suggestive evidence from retrospective studies that adding radiation therapy to a chemotherapy regimen improves outcomes, but those are retrospective and non-randomized, with all the inherent difficulties in those analyses. The limited randomiz...