What would be the recommended management for patients with rectal adenocarcinoma with rectovaginal fistula at presentation?

Topics: Radiation Oncology • Gastrointestinal Cancers

Would preop RT still be the treatment option for these kind of patients? Assuming that the rectovaginal fistula was from tumor progression.

Answer from: Radiation Oncologist at Academic Institution

Diverting colostomy, preop RT chemo, and surgery.

Comments

Radiation Oncologist at Jose R. Reyes Memorial Medical Center
Thank you! Will you recommend long course chemoRT ...

Radiation Oncologist at University of Florida
50.4/28 or 25/5 if mobile or tethered. 59.4 at 1.8...

Answer from: Radiation Oncologist at Community Practice

Agree with Dr. @William M. Mendenhall that would request a temporary diverting colostomy before proceeding with preoperative chemo-radiation. For patients with T3N0-N+ lesions, would use an IMRT approach to deliver 45Gy/25Fx to extended field and 50.4-54 Gy in boost field; for those with T4N0-N+ les...

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