How would you treat a synchronous anal canal squamous cell carcinoma and localized high risk prostate adenocarcinoma?

Topics: Radiation Oncology • Gastrointestinal Cancers • Anal Cancer

Answer from: Radiation Oncologist at Academic Institution

The primary anal cancer and prostate cancer can be treated with a whole pelvic field to include the anus and prostate/SV (45-50 Gy) with a simultaneous integrated boost for the anal tumor (RTOG 0529). HDR brachytherapy can then be used to boost the prostate after a short recovery from the external b...

Comments

Radiation Oncologist at Salina Regional Health Center
Would you use hypofractionated with SIB approach t...

Radiation Oncologist at University of Florida
To 75.9 Gy at 2.3 Gy per fraction SIB. 2 cycles of...

Radiation Oncologist at Rutgers Robert Wood Johnson Medical School
Any of these iterations is reasonable and depends ...

Answer from: Radiation Oncologist at Community Practice

The approach suggested by Dr.@Salma K. Jabbour is very thoughtful and I fully agree it would be an excellent treatment strategy.I’ve cared for a handful of patients in this scenario as well with favorable toxicity/cancer control outcomes so I figure I’d throw my approach into the mix of ...

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