What is the role of preoperative radiation in patients with bone metastases needing surgical stabilization (ie. ORIF), but without tumor resection?
If a patient has a large femoral metastasis that cannot be resected, but is to be stabilized with ORIF which will push tumor into the distal end of the rod, can pre-op radiation obviate the risk of tumor spread and reduce the chance or recurrence?
What would be an appropriate dose, fractionation, and volume for treatment in such a case?
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1 Answer
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Radiation Oncology · University of Texas MD Anderson Cancer Center
Answered on
It depends on the patient’s primary diagnosis, extent of disease (multiple metastases vs oligometastastes), and life expectancy. These factors help us formulate a treatment plan on whether we are going to deliver higher ablative doses for patients with longer life expectancy where the ultimate aim i...
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