How would you treat single celiac focus of adenocarcinoma of unknown primary?

Topics: Radiation Oncology • Gastrointestinal Cancers • Pancreatic Cancer

Would you consider SBRT as post-chemo consolidation for a patient with a single unresectable focus of metastatic adenocarcinoma at the celiac axis?

Answer from: Radiation Oncologist at Academic Institution

Given the high rates of local control and favorable toxic effect profiles of SBRT, I will treat it with SBRT. Some retrospective research studies and small phase 2 randomized clinical trials have reported overall survival or progression-free survival benefits specific to localized metastatic tumor a...

Comments

Radiation Oncologist at Princess Margaret Hospital at University of Toronto
I agree that celiac plexus pain can be disabling a...

Radiation Oncologist at University of Nebraska Medical Center
Thanks, @Laura Dawson for the trial info.

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