Would you consider BID treatment for a patient with a pelvic SCC (e.g. cervix or anal) if a significant amount of treatment days have been missed?   

For example, a patient with cervical or anal SCC who has missed many treatments due to side effects, low blood counts, hospitalizations, or non-compliance and you do not want to further prolong the overall treatment time. Do you have concerns about small bowel toxicity if you do BID treatment? 

Answer from: Radiation Oncologist at Academic Institution