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- Jan 18, 2013
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Dear friends, i have a 27 yo patient that has undergone hemorroidectomy.
The final pathology showed a moderately differentiated invasive squamous carcinoma.
Re biopsy of the scar showed no residual dz.
pelvic CT with IV contrast showed no enlarged LNs.
What should be done next ?
1- observation
2- adjuvant RT only ( to the Tumor bed with no Regional Rt to the LNs)
3- adjuvant CRT ( ACT II protocol) ( RT to TB and pelvico-inguinal nodes ) + ovarian relocation
4- adjuvant CRT ( Focal RT to tumor bed )
Tx
Sent from my iPhone using SDN mobile
The final pathology showed a moderately differentiated invasive squamous carcinoma.
Re biopsy of the scar showed no residual dz.
pelvic CT with IV contrast showed no enlarged LNs.
What should be done next ?
1- observation
2- adjuvant RT only ( to the Tumor bed with no Regional Rt to the LNs)
3- adjuvant CRT ( ACT II protocol) ( RT to TB and pelvico-inguinal nodes ) + ovarian relocation
4- adjuvant CRT ( Focal RT to tumor bed )
Tx
Sent from my iPhone using SDN mobile