Do you ever treat patients with rectal or anal cancer with IMRT in the prone position?

Topics: Radiation Oncology • Gastrointestinal Cancers

Answer from: Radiation Oncologist at Academic Institution

I would favor treating most patients with rectal and anal cancer in the prone position, with a bowel exclusion device incorporated into the immobilization. The RTOG 0529 small bowel DVH data suggest that, even with IMRT, there is at least a trend favoring the prone position. In my own practice, th...

Comments

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
Bob, what do you do to preserve female sexual func...

Radiation Oncologist at Washington University School of Medicine
Vaginal dryness and stenosis definitely can happen...

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
Vaginal dryness always happens and is manageable. ...

Radiation Oncologist at Jefferson Medical College of Thomas Jefferson University
Christopher, I assume that when you say vaginal st...

Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
Answering Bob above, This is not something new th...

Radiation Oncologist at Finger Lakes Radiation Oncology Center
Consider IMRT in the knee-chest position over a la...

Radiation Oncologist at Norris Cotton Cancer Center Keene
Bob, RTOG 0529 suggests using a prone alpha cradle...

Radiation Oncologist at Washington University School of Medicine
I don't think that treating the patient prone and ...

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