Do you offer palliative radiation to a patient with progressive gastric cancer who had received systemic chemotherapy/immunotherapy and radiation who now presents with GEJ mass with obstruction?

I'm assuming there is overlap between the GEJ mass and the prior radiation field for gastric cancer; if there is no overlap, then radiation would certainly be a treatment option.

If there is overlap, then reirradiation for palliation is often possible, but will require a composite plan to be sure th...

HDR brachytherapy 18 Gy/3#s or 20 Gy/5#s EBRT

Kidney

Brachytherapy is more effective than stenting