What is your approach to brain reirradiation in the setting of recurrent/progressive gliomas?
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2 AnswersMednet Member
Radiation Oncology · Icahn School of Medicine at Mount Sinai
A lot of factors need to be considered prior to offering brain reRT in such a setting, most importantly- interval since the 1st course of RT, patient's ECOG and neurologic function, age, perceived life expectancy, size of the lesion, location of the lesion, WHO grade of glioma, patient's expectation...
Mednet Member
Radiation Oncology · Stony Brook University School of Medicine
I assume that grade II glioma was treated with 54 Gy, and there was sufficient time interval for re-irradiation, and other treatment options were also discussed. I use fractionated radiourgery: 8 Gy x 4 fractions to the contrast enhancing lesion (total 32 Gy) and 6 Gy x4 to the area of new flair abn...