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Do you cover the sacral foramen when treating pelvic lymph nodes for prostate cancer?

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Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

I don’t cover the sacral foramen when treating the presacral nodal region for prostate or gynecological cancer - this reduces the dose to the sacrum and thus risk of insufficiency fracture.

However, I do try to cover the foramen for locally advanced rectal cancer, especially with posterior mesorect...

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Mednet Member
Mednet Member
Radiation Oncology · Lafayette Radiation Center

No

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