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How would you manage a metastatic lesion abutting the optic structures (globe, optic nerve, etc)?

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Mednet Member
Mednet Member
Radiation Oncology · Columbia University Irving Medical Center

Generally, if I'm treating a metastatic lesion abutting an OAR - in this case, it's an optic nerve - I try to keep my Dmax to the optic nerve/chiasm to 8 Gy (allow up to 10 Gy if needed). If I can't achieve those constraints, I would favor fractionated radiosurgery. There are some papers looking at ...

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