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Would you consider salvage RT in a prostate cancer patient with controlled Crohns disease?

3 Answers
Mednet Member
Radiation Oncology · SSM Cancer Center/St Louis CyberKnife
Answered on

In my experience, I have now treated two patients with Crohn's with definitive (not adjuvant/salvage) EBRT. Both had quiescent disease for years, clinically and endoscopically/pathologically, and were not on any pharmacotherapy. Both tolerated treatment well with no acute/late toxicities. One was ve...

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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

Important to know if the large bowel is involved or not as that makes the decision a bit easier. I would not treat pelvic node either way to decrease exposure of the small bowel.

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Radiation Oncology · Harvard Medical School
Answered on

I have treated several men in the post-prostatectomy setting with IBD. In general, I have used imaging (Fluciclovine-PET, now PSMA-PET!) to try to localize the disease as much as possible to keep the field as tight as possible. In addition, I like to use these tests to confirm that there is absolute...

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