How would you approach a young patient with metastatic rectal cancer and a painful local recurrence who underwent chemoRT to 50.4 Gy two years ago and declined surgery?

Topics: Radiation Oncology • Gastrointestinal Cancers

Answer from: Radiation Oncologist at Academic Institution

The answer depends on the anatomy. I would re-irradiate to the GTV only with margin 39Gy in 26fx BID. With a 2 year interval, I would judge that this is not resistant disease and that should buy some more time, but obviously not definitive. I would tell him the only curative option would be to...

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