Would you modify the postoperative radiation dose to a pancreas tumor bed in the setting of a remote history of prior abdominal RT, specifically with regard cumulative small bowel dose?

Prior records suggest dose of 25.5 Gy to para-aortic nodes for seminoma in the 1990s. Patient now presents with pT2 N0 pancreatic adenocarcinoma with +PNI/LVI, and negative margins.

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Would you modify the postoperative radiation dose to a pancreas tumor bed in the setting of a remote history of prior abdominal RT, specifically with regard cumulative small bowel dose?

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