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Do you routinely modify radiation treatment plans for patients with prostate cancer on chronic anticoagulation or with bleeding disorders?

2 Answers
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Radiation Oncology · Varian Medical Systems/Allegheny health network
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I have not been modifying volume but do consider using space OAR as risk of rectal bleeding higher

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Radiation Oncology · AdventHealth Cancer Institute
Answered on
The short answer is that I do not change my prescription or plan for men on chronic anticoagulation, but I do advise them of the increased risk of proctitis associated with prescription anticoagulants. THere are several studies evaluating this risk (a recent one with a nice literature review is Schr...

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