Would you consider definitive RT in a patient with oligometastatic bladder cancer who is not a surgical or chemotherapy candidate?

Would you consider 55 Gy in 20 fx to the primary followed by SBRT to oligo sites? Would you consider concurrent immunotherapy? Or would you just proceed on palliative route?

1 Answer

Mednet Member

Radiation Oncology · Michigan Healthcare Professionals, PC

Answered on

Oligometastatic bladder cancer has quite a poor prognosis and most local treatment in this setting is palliative in nature. Durable local control that provides hemostasis and prevents obstruction and other urinary issues is crucial. 30/10, 40/15, 55/20 are all potential options, but knowing that thi...

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