Topics:
Radiation Oncology • Gastrointestinal Cancers
How would you treat a patient with locally and distant recurrent rectal cancer who has previously received chemoradiation but now presents with pain and bleeding from the site of local recurrence?
Answer from: Radiation Oncologist at Academic Institution
Generally we like to see a 1 year interval between courses of radiation. We give 39Gy in 26 fx BID with a 3D conformal technique. The cumulative BED should be <100 or so. We use a 3 cm margin cranial an caudal on the GTV and include the presacral space. We give concurrent ca...
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