Topics:
Radiation Oncology • Genitourinary Cancers
How do you manage rectal wall infiltration during a rectal spacer procedure?
Answer from: Radiation Oncologist at Community Practice
At ASTRO 2023, PACE-B reported RTOG grade 2+ GI toxicity was exceedingly low at only 1/348 for 78 Gy/39 fx or 62 Gy/20 fx and only 1/363 for 36.25/5 fx. Anyone know what % of patients in PACE-B had SpaceOAR or similar products?
This raises the question of whether SpaceOAR or similar products are ne...
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Answer from: Radiation Oncologist at Community Practice
Are there updated 2021 recommendations for imaging and management of SpaceOAR hydrogel rectal wall infiltration?We routinely obtain post-SpaceOAR MRI with thin cut T2 axial and sagittal images for fusion with our radiotherapy planning CT. The Fischer-Valuck study (PMID 28089528) categorized rectal w...
Answer from: Radiation Oncologist at Community Practice
I agree, there is no specific intervention to reverse the rectal wall infiltration. Patients often complain of rectal fullness and occasional tenesmus. The spacer will eventually be absorbed. There has not been any case of serious injury with rectal wall infiltration with spacer.
Comments
Radiation Oncologist at University Kansas School of Medicine
These kinds of complications could have been compl...
These kinds of complications could have been compl...
Answer from: Radiation Oncologist at Community Practice
There is no specific intervention needed. Patients do feel the symptoms and it resolves as space OAR gets absorbed.
Answer from: Radiation Oncologist at Community Practice
Recent case report and discussion on management:McLaughlin et al., PMID 34195499.
Comments
Radiation Oncologist at University of Texas Southwestern
Thanks for highlighting this Dr. @Sushil Beriwal -...
Thanks for highlighting this Dr. @Sushil Beriwal -...
Radiation Oncologist at Sletten Center Radiation Therapy
Very helpful.
Very helpful.
Radiation Oncologist at Sunnybrook Health Sciences Centre
Very helpful to read your experience, @Neil.
Very helpful to read your experience, @Neil.
Radiation Oncologist at National Institutes of Health Clinical Center
Dr. @Desai, I'm curious if you ever consider reduc...
Dr. @Desai, I'm curious if you ever consider reduc...
Radiation Oncologist at University of Texas Southwestern
Hi, thanks for the discussion and humoring my thou...
Hi, thanks for the discussion and humoring my thou...
Radiation Oncologist at National Institutes of Health Clinical Center
I do the exact same thing based on the same ration...
I do the exact same thing based on the same ration...
Radiation Oncologist at UW Carbone Cancer Center
We have noted an unusual case of the gel that appe...
We have noted an unusual case of the gel that appe...