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What doses and volumes do you use in treatment of rectal cancer post-operatively?

How do you delineate your boost volume and to what dose? What dose would you use to boost suspicious remaining nodes and how are your doses impacted with margins negative vs margins positive?
3 Answers
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Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on

A surgeon I once worked with used to say "Post-op RT is a disease".

I can't remember the last time I treated someone with rectal ca post-op. When we recommend surgery first without pre-op, it is with the understanding, that will not be don't post-op regardless of the pathology.

However, here are so...

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Radiation Oncology · University of North Carolina at Chapel Hill
Answered on

It would be nice if things were that simple, but they aren't always. Although I never plan on post-op RT, sometimes a patient is referred after surgery with very high risk disease (although fortunately, this is now a rare event). Keep in mind that the outcomes data for post-op are not that much wors...

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Radiation Oncology · University of Florida
Answered on

Treat preop. Postop implies an unpleasant surprise.

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