What is your treatment paradigm for rectal cancer in the setting of COVID-19?
Are you doing more TNT to prolong time to surgery? If so, do are you starting with CRT or chemotherapy?
Answer from: Radiation Oncologist at Academic Institution
This is a difficult scenario where none of us has enough information to make a completely informed decision. However, all of the modeling that I've seen suggests that personal contact and exposure are the primary drivers of the pandemic. To that end, we've tried to minimize this as much as possible....
Answer from: Radiation Oncologist at Community Practice
Discuss every case in MDC and favor neoadjuvant chemo and short course RT unless concern about circumferential margin, low lying lesion with plan to possible assess for non surgical approach or side wall nodes.
Answer from: Radiation Oncologist at Community Practice
I've been offering and administering short course more routinely but have noted that patients have significant radiation proctitis (tenesmus, frequency, sometimes bleeding) for at least 2-3 weeks post treatment, if not longer.
Other than Imodium and low residue diet, do you recommend additional the...
Comments
Radiation Oncologist at Lake Huron Medical Center
Pre-emptively telling them it will occur helps a l...
Pre-emptively telling them it will occur helps a l...
Would you consider 5 fraction regimen in a patient...
In patients with prior pelvic radiation or brachyt...
RAPIDO and PRODIGE are making TNT the standard of ...
Fewer side effects in short term, long term or bot...