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Would you offer a third course of palliative radiation after two courses of 8 Gy in 1 fx?
If a patient with metastatic castration-resistant prostate cancer had a hip lesion first treated with 8 Gy in 1 fx 4 years ago, then received another 8 Gy in 1 fx 2 years ago, and is now having very poor quality of life with renewed right hip pain, would you offer any additional RT? The patient has been treated with Pluvicto and Xofigo previously.
If you would re-treat, what dosing or technique would you use?
Answer from: Radiation Oncologist at Community Practice
Hip pain can mean different things - is it the ilium, ischium, acetabulum, femur, or L-spine causing the pain?If it is the exact same bone as previously treated, a third fraction of 8 Gy can generally be safely given over the course of 4 years, especially if pain relief each time has lasted ~2 years...
Comments
Radiation Oncologist at Centura Health
I use this often in a highly palliative situation,...
I use this often in a highly palliative situation,...
Agree with this and Dr. @Johnstone's point below. ...