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?



Answer from: Radiation Oncologist at Community Practice