Is there a role for quad-shot or similar regimen in a patient with a technically resectable, but medically inoperable colon cancer that is both bleeding and causing a partial obstruction?

A very elderly patient who is a poor surgical candidate with a partially obstructing colonic mass that is bleeding and causing anemia.

Answer from: Radiation Oncologist at Academic Institution

I do not use quad shot for the palliation of gastrointestinal tumors. I do not believe in giving doses larger than 3 Gy per fraction because it uses up tolerance, and it's difficult to retreat. My strategy is to be able to treat the patient again after recovery of tolerance in a year. This usually r...

Comments

Radiation Oncologist at Washington University School of Medicine
Has symptomatic obstruction responded to RT well e...

Radiation Oncologist at CHI Saint Joseph Health
We used the quad shot, and it worked very well for...

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Is there a role for quad-shot or similar regimen in a patient with a technically resectable, but medically inoperable colon cancer that is both bleeding and causing a partial obstruction?

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