Patient With Post-operative Recurrent Pancreatic Cancer Treated With Cone Beam Computed Tomography-Guided Stereotactic Adaptive Radiotherapy: A Case Report
2024

Case Report on Treating Recurrent Pancreatic Cancer with Advanced Radiotherapy

Sample size: 1 publication Evidence: moderate

Author Information

Author(s): Muacevic Alexander, Adler John R, Forghani Farnoush, D'Souza Alden, Laugeman Eric, MO Allen, Samson Pamela P, Kim Hyun

Primary Institution: Washington University School of Medicine, Saint Louis, USA

Hypothesis

Can cone beam computed tomography-guided adaptive radiotherapy improve treatment outcomes for post-operative recurrent pancreatic cancer?

Conclusion

The use of HyperSight imaging in CT-guided adaptive radiotherapy improved the quality of treatment for a patient with post-operative recurrent pancreatic cancer.

Supporting Evidence

  • The patient received nine cycles of neoadjuvant mFOLFIRINOX followed by a Whipple resection.
  • Post-surgery, a local recurrence was treated with adaptive stereotactic body radiotherapy at 50 Gy in five fractions.
  • The study highlights the utility of HyperSight CBCT for organ-at-risk and tumor delineation.

Takeaway

This study shows that a special type of radiation therapy helped a woman with pancreatic cancer after surgery, making her treatment better and safer.

Methodology

The patient underwent CT-guided adaptive radiotherapy using HyperSight imaging for daily delineation of organs-at-risk and tumor targeting.

Limitations

The study lacks a dosimetric comparison with a similar case treated by an MRI-guided adaptive radiotherapy modality.

Participant Demographics

61-year-old female with post-operative recurrent pancreatic cancer.

Digital Object Identifier (DOI)

10.7759/cureus.75284

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