Topics:
Radiation Oncology • Palliation • Neuro-Oncology • Stereotactic Body Radiotherapy • Stereotactic Radiosurgery
Do you prescribe prophylactic steroids with spine SBRT?
Does fractionation (or location) influence this decision? What is your preferred steroid dose?
Answer from: Radiation Oncologist at Academic Institution
I do not use prophylactic steroids for spine radiosurgery. I indeed start tapering steroids from the time of consultation if the patient was already on steroids. After radiosurgery of spinal cord compression, I start tapering on the day of radiosurgery.Pain flair seems to occur in 10-20% of patients...
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Answer from: Radiation Oncologist at Academic Institution
I remember a case of L3 met (from NSCLC) that I treated with single fraction SBRT (18 Gy in 1 fx) several years ago. The pain before treatment was 8 out of 10 on BPI. No prophylactic steroid was used. Within 24 hours after SBRT, the BPI score dropped to 0-1 out of 10 but the...
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Radiation Oncologist at Mon Health
Therefore, is it reasonable to use prophylactic st...
Therefore, is it reasonable to use prophylactic st...