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Head and Neck Cancers • Radiation Oncology
What is your palliative radiation approach to larger volume locoregional head and neck SCC recurrences?
How does your dose/fractionation vary for patients with and without prior radiation?
How do you decide on the treatment volume? In particular, how do you balance preferences for shorter palliative courses with the risks involved of treating larger volumes?
Answer from: Radiation Oncologist at Academic Institution
If there was no prior RT, for palliation-30 Gy/10 fractions or 20 Gy/2 fractions with 1 week interfraction interval.
If there was prior RT, for palliation-30 Gy/12 fractions
For reRT with curative intent-64.8 Gy at 1.2 Gy per twice daily fraction. ReRT the recurrence or second prima...
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Answer from: Radiation Oncologist at Academic Institution
I use QUAD shot 3.7 BID x 2 days break repeat break repeat to 4440 or 5920 sometimes I dose paint 370/340 I treat all tumor, no size limit