Would you ever omit adjuvant radiation for a patient with rectal cancer originally staged cT1N0, but found to be pT1N1 after surgery?
If the patient is amenable to adjuvant chemotherapy alone, but is worried about chronic diarrhea/urgency after radiation, how would you counsel them?
Answer from: Radiation Oncologist at Academic Institution
Certainly a topic that comes up not uncommonly in tumor boards. The gold standard comparing pre to post operative chemoradiation remains the German colorectal trial, and showed increase in acute diarrhea from 12% to 18% and long term GI sx from 9% to 15%, strictures from 4% to 12%. Although there is...
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Answer from: Radiation Oncologist at Academic Institution
No
Answer from: Radiation Oncologist at Community Practice
SOC answer is to treat the pelvis based on Sauer and others with the goal to reduce LRR. I think it is important to realize that this is the type of risk group that may not get the maximal benefit. Gunderson et al. performed a great pooled analysis to break down these groups, and trimodality fo...
Comments
Radiation Oncologist at University of North Carolina at Chapel Hill
I think that one needs to delve into the data more...
I think that one needs to delve into the data more...
Radiation Oncologist at UTHSCSA
Thank you for the phenomenal expert addition Dr. @...
Thank you for the phenomenal expert addition Dr. @...
Radiation Oncologist at Northeast Radiation Oncology
Very helpful discussion, thank you.
Very helpful discussion, thank you.
Answer from: Radiation Oncologist at Community Practice
No