Topics:
Radiation Oncology • Genitourinary Cancers
For patients with RCC or other radio-resistant histology with metastasis to long bones requiring surgical stabilization, what dose and volumes do you use for post-op RT?
Answer from: Radiation Oncologist at Community Practice
Recent data from Sloan Kettering suggest that covering the entire hardware allows for better local control.
I would stick with 30 Gy in 10 fx, if treating post-op. Can consider 1 or 5 fx, but since this is less for pain and more for local control, I would fractionate.
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Answer from: Radiation Oncologist at Academic Institution
I have used 33-40 Gy in 10 if it appeared safe to do so. I also wonder if others are routinely using aggressive approaches, SBRT perhaps, if oligomet, or if most would only offer 30 Gy in 10 postop…
FIF boost GTV only as above but CTV try to include hardware 30-33 Gy, but exclude joint; 3D. ...