How do you typically sequence chemotherapy and palliative radiation for metastatic endometrial and cervical cancers?
If a patient is found to have multiple painful osseous lesions but is chemotherapy naive, do you typically wait for the patient to undergo treatment with systemic therapy first before treating with palliative RT?
Alternatively, do you administer RT before systemic therapy, or concurrently?
Answer from: Radiation Oncologist at Community Practice
We have done it either way.
Either start with RT for pain control or do it in between chemo based on the OAR dose and fractionation planned.
If away for critical OAR dose and plan for single fraction, it can be done in between chemo also.
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