How would you manage an osseous lesion that received palliative SBRT with no pain relief?

This is certainly a challenging clinical scenario, without meaningful published literature to guide recommendations. If faced with this scenario, I would try to really determine the etiology of the patient’s pain in order to determine the best treatment.

First of all, did the patient have pain relie...

I like the thoughtful approach that Dr. @Dr. First Last wrote out in terms of considering the etiology of pain and whether radiation is indeed the best next step. It is important to remember that RT is one part of a multimodality approach to cancer care, and that the end goal here is improving pain....