Still pretty standard. Remember the maximum radiation they say they can give us is appx 70 to 72 gray (Gy) units and that is typically administered in 2 Gy units daily so 70 divided by 2 equals 35 days which translates to 7 five day weeks. There is and has been for some time the practice of accelerating the radiation in some cases by say doubling up on Friday and reducing the Tx time by 1 week. Most times it's when chemo is not given concurrently. Again goal #1, Kill the Cancer and goal #2, spare the damage to the good cells.

To this end, currently in the HPV arena where previous studies have concluded, at least in the short term, that HPV+ SCC responds better to the typical Tx, some are planning studies to reduce the overall radiation in say 5 Gy unit increments. Planning it may be one thing but getting it approved, funded and full of willing patients may be another.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.