How would you treat a bone oligometastasis that required surgical fixation for pathologic fracture?
Do you treat all surgical hardware to a conventional palliative dose? Do you treat the metastasis with SBRT? Would you treat both with a simultaneous integrated boost to gross disease?
Community PollStarted
How would you treat a bone oligometastasis that required surgical fixation after pathologic fracture?
195 physicians have voted
Join Mednetto vote and see how they answered.
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Washington School of Medicine
Answered on
It really boils down to the clinical scenario and the approach of the operation. Any time there is a possibility that the surgical procedure may shove the tumor/ tumor cells into the medullary cavity, one will need to include the whole surgical hardware in the RT field. A cone-down or simultaneous boost to the GTV is reasonable. If a majority of the long bone is to be treated, hypofx RT will be the best approach.