Is 500 cGy x 5 an appropriate palliative regimen for a patient with a low-lying metastatic rectal cancer with ongoing pain and bleeding despite chemotherapy?
Answer from: Radiation Oncologist at Community Practice
For rectal cancer patients with untreated gross disease, there can be pain, diarrhea, obstipation, and bleeding. Radiation works very well for palliation of these symptoms.In general, I prefer shorter courses of RT, particularly for palliation. However, having treated many patients with 25 Gy in 5 f...
Comments
Radiation Oncologist at Henry Ford Health System
I have heard the 'anecdotal' experience of increas...
I have heard the 'anecdotal' experience of increas...
Radiation Oncologist at Lake Huron Medical Center
If only 5% of long course patients have any acute ...
If only 5% of long course patients have any acute ...
Answer from: Radiation Oncologist at Community Practice
In the oligo metastatic setting - certainly reasonable to utilize 5x5 upfront to then bridge to a possible definitive treatment after systemic therapy. If someone has pain and bleeding through and widely metastatic - while I have used 5x5 as palliation before - I am cautious. It can lead to severe p...
I prefer this regimen in the palliative setting al...
That's a good question. For me, it would be a matt...
I would prefer a more traditional course of pallia...
I agree with using 5 Gy x 5 for palliation. There ...