Should special precautions be taken when treating oligometastatic disease in the sacrum or pelvis with SBRT in a patient with a long life expectancy?  

For example in a patient with a good performance status and a biologically favorable cancer (ER+ breast cancer, EGFR+ NSCLC, or prostate cancer), are you worried about increased fracture risk over time? What dose fractionation would you consider?



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Yale School of Medicine
Thanks Ken! Do you recommend contouring the lumbos...
Radiation Oncologist at Mayo Clinic
Absolutely. T2 MRI is great for this but you can ...
Radiation Oncologist at Central Care Cancer Center
Thank you very much Drs.Olivier and Housri. Do y...
Radiation Oncologist at Mayo Clinic
We do daily b/c our patients are usually staying i...
Radiation Oncologist at Carolina Regional Cancer Center
Do you change anything (e.g. fractionation) for ol...
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