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What small bowel dose constraints do you utilize when treating resected pancreatic cancer?

When indicated as in the setting of positive margins and/or positive lymph nodes, do you use V45 <195cc (QUANTEC), or V45 <15% (RTOG 0848), and do you have a recommendation for V50?
1 Answer
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Radiation Oncology · University of North Carolina at Chapel Hill
Answered on

Questioning the normal tissue tolerance in the setting of a resected pancreatic cancer raises a number of issues. To answer the question of which of the listed dose constraints I use, the answer is neither.

There has been a general trend in the field to use less conventional radiation therapy postop...

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