Would you recommend repeat radiation therapy for a painful perineal recurrence in a patient who failed definitive CRT, and recurred again after salvage abdominoperineal resection (APR)?  

What would be the RT dose and what percentages would you quote for toxicities? Would you recommend consideration of surgery instead?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Memorial Sloan-Kettering Cancer Center
The other reason I use 30Gy in 20 BID instead of 3...
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Answer from: Radiation Oncologist at Community Practice