What is your preferred palliative regimen for pancreatic cancer with pain related to celiac plexus involvement?
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2 AnswersMednet Member
Radiation Oncology · Memorial Sloan-Kettering Cancer Center
I prefer to use 36Gy in 12 fractions, which can be given AP/PA as long as it is homogeneous. Even though the GI rad onc academic community promotes SBRT techniques for palliation, the use of an SBRT technique in this setting is unnecessary for such low doses. I only use an SBRT technique when I woul...
Mednet Member
Radiation Oncology · Mount Sinai Medical Center
I agree completely. In an era where insurance companies are increasingly scrutinizing what we do (and denying things), using techniques like SBRT in this context without clear evidence is only going to make it harder to get approvals for cases that do really need advanced techniques like SBRT.
I ha...