Topics:
Radiation Oncology • Gastrointestinal Cancers
Would you give post-operative radiation therapy and/or chemotherapy after an APR for anal cancer if inguinal lymph nodes were involved but margins were negative?
Surgery showed 1/5 and 1/4 LNs involved in the groins. What areas would you cover and with what corresponding doses?
Answer from: Radiation Oncologist at Academic Institution
This question has medicaolegal implications. We should not try to make up for the bad decisions that others have made. Since the standard of care was not followed, I would be hesitant and careful about causing any significant risk. Elective radiation to the inguinal areas would put the patient ...
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