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How do you treat stage I head of pancreas adenocarcinoma in an older patient who is not a candidate for chemotherapy or surgery?

Do you treat with radiation therapy and what dose do you use? What dose do you accept to the duodenum?
2 Answers
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Radiation Oncology · Mount Sinai Medical Center
Answered on

The question of how to manage an elderly patient who is not a candidate for chemotherapy or surgery is a really important one. I would argue that this question is not unique to an elderly patient but should be asked for ANY patient who cannot receive systemic therapy. We are fortunately living in a ...

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Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on · Updated on

The MDACC data are with pre-operative treatment in surgical candidates. Many are now giving ablative doses with median OS results >2 years in these patients that are similar to surgery. Our recent results (Reyngold et al., PMID 33704353, Jolissaint et al., PMID 34269717) show this in much worse pati...

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