What would be the recommended management for patients with rectal adenocarcinoma with rectovaginal fistula at presentation?
Would preop RT still be the treatment option for these kind of patients? Assuming that the rectovaginal fistula was from tumor progression.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Florida
Answered on
Diverting colostomy, preop RT chemo, and surgery.
Join for free or sign in to see the full answer
Mednet Member
Radiation Oncology · Emeritus Professor
Answered on
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...
Join for free or sign in to see the full answer