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- Jan 18, 2013
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Dear colleagues,
I have a 95 yo female patient, very well conserved, ambulant . No severe comorbidities.
She presented for low rectum ademocarcinoma invading partially the internal anal sphincter with no fecal incontinence.
She complains of post defecation pain and rectorrhagia.
Pelvic MRI showed no LNs.
She is not operable.
She will receive xeloda with concomitant radiation.
What would you propose as for dose and fractionation?
-45/25 with boost to small pelvis and tumor
- 25 in 5 even if no following surgery
- palliative RT : 30/10 or 37.5 in 15
Thank you
Sent from my iPhone using SDN mobile
I have a 95 yo female patient, very well conserved, ambulant . No severe comorbidities.
She presented for low rectum ademocarcinoma invading partially the internal anal sphincter with no fecal incontinence.
She complains of post defecation pain and rectorrhagia.
Pelvic MRI showed no LNs.
She is not operable.
She will receive xeloda with concomitant radiation.
What would you propose as for dose and fractionation?
-45/25 with boost to small pelvis and tumor
- 25 in 5 even if no following surgery
- palliative RT : 30/10 or 37.5 in 15
Thank you
Sent from my iPhone using SDN mobile