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When treating adenocarinoma of the pancreas to 75 Gy in 25 fractions, what dose constraints do you use for small bowel, large bowel, and stomach?

What are your fields? Do you treat nodes electively?
1 Answer
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Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on · Updated on

Planning Volumes

Definition

Doses by Fractionation Scheme

15-Fraction

25-Fraction

Microscopic Extension PTV

CTV + 5mm

(CTV = GTV + 1cm + CA, SMA, +/- porta hepatis, +/- splenic hilum basins)

37.5Gy/15

45Gy/25

High Dose PTV

GTV + 5mm margin excluding GI PRV expan...

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