Would you offer neoadjuvant radiation therapy with concurrent chemotherapy for a T4 rectal carcinoma with an associated rectovesical fistula?
Answer from: Radiation Oncologist at Community Practice
In the past, some considered fistulas to be a contraindication for radiation therapy due to concerns about potential worsening. However, our understanding has evolved, particularly in cases where the tumor itself is often the primary cause or a significant contributor to the fistula. Consequently, i...
Sign in or Register to read more
Answer from: Radiation Oncologist at Academic Institution
Yes, after a diverting colostomy.