Topics:
Radiation Oncology • Gastrointestinal Cancers
Do you ever offer repeat radiation for hepatobiliary cancers in cases of local recurrence after definitive external beam or SBRT?
If so, what constraints would you use for central biliary and other normal structures and what dose/fractionation would you use?
Answer from: Radiation Oncologist at Academic Institution
I do offer repeat radiation for hepatobiliary cancer after definitive external beam or SBRT. The dose and fractionation really depends on the size of the recurrence, the status of the patient's liver disease e.g. Child Pugh status (CP), and its location in proximity to critical structures.If the les...
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