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?
Answer from: Radiation Oncologist at Academic Institution
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...
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