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Radiation Oncology • Gastrointestinal Cancers
In a patient with rectal cancer, when would you consider brachytherapy monotherapy or brachytherapy boost after CRT?
Specifically, in a patient with T2N0 low rectal adenocarcinoma (1.5 cm, anterior only involvement, at the level of the sphincter, 4 cm proximal to the anal verge) strongly desiring organ preservation, how can brachytherapy potentially be incorporated? Colorectal surgery recommends against trans-anal local excision.
Answer from: Radiation Oncologist at Community Practice
For a patient with cT2N0 disease, the most appropriate use of brachytherapy would be sequential with pelvic radiotherapy, the bulk of data being with long-course CRT. Brachy can either be done prior to CRT or sequenced afterwards. We routinely use brachytherapy in appropriate candidates in our pract...
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