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Is it feasible to give pelvic radiotherapy in patients with a congenital, functioning, pelvic kidney?

Is it possible to spare and minimize kidney dose?
2 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Abramson Cancer Center, University of Pennsylvania
Answered on

Agree with @Dr. First Last

Pelvic kidney is not necessarily a contraindication to radiation with modern (e.g. IMRT) RT planning

Lots of teaching cases and case series

For these patients, we first make sure treatment to the pelvis is absolutely necessary. Treatment planning is done with high priority...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

It is feasible based on target ( nodal RT or not ) and location of pelvic kidney. We try to underdose nodal RT on side of pelvic kidney with reduced or no PTV margin if treatment is prophylactic . Try to keep mean dose to 8 Gy or less

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