Topics:
Radiation Oncology • Gastrointestinal Cancers
In a patient treated with peri-operative chemotherapy via the MAGIC regimen for gastric cancer who has a locoregional relapse in unresectable celiac node, how would you approach radiation treatment?
Do you consider Macdonald type sandwich treatment 45Gy with xeloda?
Would you dose escalate gross node?
Would you treat stomach remnant and regional nodes or just node itself?
Answer from: Radiation Oncologist at Academic Institution
I would give an ablative dose to the node. These nodes are usually not near GI structures. I would electively treat the PA, portal, and splenic artery nodes with a microscopic dose at least down to the level of the IMA. I would not electively treat the remnant in the salvage setting.
Dose opt...
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