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Is it possible to palliate presacral recurrences of rectal cancer in patients who previously received neoadjuvant chemoradiation to the rectum?

In the past, I haven't seen great results in palliating the presacral area. The pain is excruciating for many patients. Is there an effective option for re-irradiation? SBRT? Hyperfractionation?
1 Answer
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Our institution has reported on a small series of presacral recurrences in previously treated patients with SBRT with good response and palliation.

http://www.ncbi.nlm.nih.gov/pubmed/22269400

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