How would you approach definitive RT for mid-esophageal cancer in a patient who declines or cannot get chemotherapy?
2 Answers
Mednet Member
Radiation Oncology · University of Florida
RT alone. 70/35. I know, stop at 50. Pall RT.
Mednet Member
Radiation Oncology · Vanderbilt-Ingram Cancer Center
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 cannot to...