Topics:
Radiation Oncology • Gastrointestinal Cancers
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?
Answer from: Radiation Oncologist at Academic Institution
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...
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Answer from: Radiation Oncologist at Academic Institution
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...
Comments
Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
Thanks for emphasizing the point about the cone do...
Thanks for emphasizing the point about the cone do...
Answer from: Radiation Oncologist at Academic Institution
Treat preop. Postop implies an unpleasant surprise.