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Radiotherapy in bleeding

• RT helps in

24-48 h

(think about transfusion if massive bleeding!)

• Schedules –

preferred hypofractionation:

– 1x 8-10 Gy,

– 3-5 x 4-8 Gy,

– 10 x 3 Gy

• Different definition of succes:

– no further bleeding,

– increased level of Hb

– less transfusions

– RT effective in vaginal bleeeding almost 100%, hemoptysis 86%,

upper GI - 90%

JK 5/49