What would be the recommended management for patients with rectal adenocarcinoma with rectovaginal fistula at presentation?
2 Answers
Mednet Member
Radiation Oncology · University of Florida
Diverting colostomy, preop RT chemo, and surgery.
Mednet Member
Radiation Oncology · Emeritus Professor
Agree with Dr. @Dr. First Last 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+ lesions, 5...