How would you manage a male with a prior history of localized prostate cancer s/p radiation to prostate only (two years ago), who now presents with a T1N0 squamous cell carcinoma of the anus?
Would your management change if the prostate and lymph nodes were treated with radiation two years ago?
Answer from: Radiation Oncologist at Community Practice
There is data where t1 no anal cancer was treated with RT alone with a localized field. There was low risk of recurrence of the outside treatment volume and that would be my approach to avoid overlap and given the chance of sphincter preservation.
Also, I have not used it but data also shows good e...
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Answer from: Radiation Oncologist at Community Practice
Interesting case. I have treated 2 patients who have had PCs, and were, curatively, irradiated -> one with definite EBRT and ST-ADT, and the other with combined EBRT w/ brachy prostate boost with ST-ADT.
The anal cancers were both HPV negative.
I treated both with en face el...
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Radiation Oncologist at St. Mary's Health Care
Maybe for a proton specialist.
Maybe for a proton specialist.