Topics:
Radiation Oncology • Gastrointestinal Cancers
How would you approach definitive RT for mid-esophageal cancer in a patient who declines or cannot get chemotherapy?
Answer from: Radiation Oncologist at Academic Institution
RT alone. 70/35. I know, stop at 50. Pall RT.
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Answer from: Radiation Oncologist at Academic Institution
I am always reminded of RTOG 85-01 (Cooper et al., PMID 10235156) data in this clinical scenario. 64Gy in 32Fx RT alone had a 0% 5-year rate of survival. If the matter is that the patient refuses chemotherapy, would try and inform him of that statistic (versus 26% with 50Gy + Chemo). If he...