Would you include the entire bladder in the treatment field of a patient with a history of T1 bladder cancer s/p intravesical therapy who is now being planned for chemoradiation for a T3N1 rectal cancer?

Topics: Radiation Oncology • Gastrointestinal Cancers • Genitourinary Cancers • Rectal Cancer

Intravesical therapy was delivered two years prior, and last cystoscopy was negative. One-third of the bladder would otherwise be included in the plan.

Answer from: Radiation Oncologist at Academic Institution

No, I would NOT include the entire bladder in the treatment field. The major driving factor for his survivorship will be rectal cancer (instead of bladder cancer) in his case. Given that his superficial bladder cancer is relapse-free for 2 years, his outlook from a bladder cancer perspective is fav...

Comments

Radiation Oncologist at Fox Chase Cancer Center
I agree with Dr. @Choo, and would only add that th...

Answer from: Radiation Oncologist at Community Practice

I would not change the volume based on a prior history of early-stage bladder cancer.

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