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...

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

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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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