Topics:
Head and Neck Cancers • Radiation Oncology
In a patient with stage III-IV p16+ oropharyngeal cancer undergoing definitive CRT who is unable to maintain nutrition, would you rather consider stopping treatment early (to an investigational de-escalated dose) or insert a feeding tube/take treatment breaks in order to complete the full dose?
Answer from: Radiation Oncologist at Academic Institution
Off protocol, we should complete the course of chemo radiation, so feeding tube if needed.
I would try aggressive hydration first, if possible.
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Answer from: Radiation Oncologist at Academic Institution
I agree with Dr. @Nancy Y. Lee. I would push to complete the course of chemoradiotherapy and not stop early. I too would not hesitate to place a feeding tube during therapy. Ideally, this is a PEG if it is anticipated that the patient will require nutritional support for any length of time. Oth...