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