Would you have any concerns about giving pelvic radiation in someone with a previous history of receipt of HIPEC?

Topics: Radiation Oncology • Gynecologic Cancers

Patient with h/o appendiceal carcinoma s/p surgery and HIPEC, now with endometrial cancer, IBG3, extensive LVSI, pNx, recommended for whole pelvic radiation.

No real data evaluating the safety of WPRT in this scenario on quick lit search.

Answer from: Radiation Oncologist at Community Practice

I have done it a few times but important to know pelvic adhesions at the time of surgery to counsel better about the risk of SBO (pros vs. cons).

Comments

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Thanks - counseled on higher risk of SBO given mul...

Answer from: Radiation Oncologist at Academic Institution

Yes, I would have great concern about it. Most likely, I would recommend chemotherapy alone unless there was a contraindication to that.

Comments

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Would you take a patient in this scenario and inst...

Radiation Oncologist at University of Kentucky
Yes, I think that chemo and cuff is likely safe an...

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