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?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Mayo Clinic Florida
Answered on
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...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Radiation Oncology · Montefiore Einstein Comprehensive Cancer Center
Answered on
Gated RT/DIBH/IMRT/Protons could be helpful in some cases.
Join for free or sign in to see the full answer