Topics:
Radiation Oncology • Thoracic Malignancies
What dose constraints do you use for the stomach in conventionally fractionated definitive chemoradiation for a large LLL primary tumor?
What about for patients with hiatal hernia?
Answer from: Radiation Oncologist at Community Practice
I would aim to keep point max to the stomach under 50.4 Gy. This can be challenging for sure if nearby the tumor. I would use the same constraints if patient had a hiatal hernia. Moreover, I would have the patient NPO prior to sim and every treatment as that may help create separation between the st...
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Answer from: Radiation Oncologist at Community Practice
Gated RT/DIBH/IMRT/Protons could be helpful in some cases.