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Bladder cancer – role of palliative RT

• Symptoms: hematuria, pelvic pain,

dysuria

• Example of palliative schedules:

– 5 x 4 Gy,

– 10 x 3 Gy,

– 6 x 5.75 Gy to a total dose of 34.5 Gy

in six fraction given once a week

(

Dirix P Support Care Cancer 2016)

– 35 Gy in 10 fractions over two weeks

versus 21 Gy in 3 fractions over one

week

(MRC BA09, Duchesne IJROBP 2000)

JK 40/49