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Is it safe and appropriate to palliatively treat abdominal or thoracic tumors with concurrent chemotherapy when using fractions of 250-300 cGy?

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Mednet Member
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Radiation Oncology · Memorial Sloan Kettering Cancer Center

I have routinely given 250cGy per fraction to total doses of 3500-3750cGy with single-agent radiosensitizing chemotherapy (usually 5-FU or capecitabine) without apparent significant toxicity, though we have not reviewed our data. So I generally consider this to be a safe regimen and consider it for ...

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Mednet Member
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Radiation Oncology · Varian Medical Systems/Allegheny health network

I have personally not done this. At last ASTRO, there was presentation of a randomised international study for esophageal cancer comparing RT (30 to 35 Gy in 10-15 fractions) to chemoRT (same RT with cis and 5FU) for palliation showing no difference in symptom relief, QOL and survival but increased ...

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