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Should anal cancer patients undergoing definitive chemoradiation be put on a treatment break for neutropenic status?

Is this practice still relevant to the modern IMRT approach where skin toxicity is much lower?
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Do you hold RT for a neutropenic anal cancer patient undergoing definitive chemoradiation?

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1 Answer
Mednet Member
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Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on

Thankfully, this a rare event. I would not recommend a break for this reason alone. As correctly stated, IMRT has reduced the skin toxicity, making any skin infection more manageable. Chemo will be held and radiation can continue with the patient on neutropenic precautions.

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