This activity presents challenging clinical scenarios arising in the management of patients with gastrointestinal malignancies. The discussants include radiation oncologists from an academic practice setting in a large metropolitan center, an academic/community hybrid practice in a smaller coastal town, and a community practice in Alaska (serving a wide geographic area including the Native Alaskan community). The purpose of the panel is to discuss how to implement state-of-the-art radiation therapy treatments for gastrointestinal cancer patients across a variety of practice environments. Cases are chosen to highlight best practices as well as evidence-based approaches to areas of current clinical ambiguity or controversy. The session is not designed to provide a full review of medical literature related to each disease, but to highlight critical points that can be incorporated into everyday medical decision-making. The goal is to present a mix of difficult scenarios that are commonly encountered in clinical practice. The panelists discuss social and cultural contributions to oncologic outcomes in their practice environments and focus on the patient perspective. 

Topics:

1. Locally Advanced Rectal Cancer
   Aaron S. Kusano, MD, SM 
2. Esophagus
   Pehr Hartvigson, MD
3. Intrahepatic Cholangiocarcinoma
   Vonetta Michelle Williams, MD, PhD
4. Anorectal SCC in an HIV+ Patient
   Edward Y. Kim, MD

This activity is available from August 8, 2023, through 11:59 p.m. Eastern time on August 7, 2025. 

This activity was originally recorded at the 2022 ASTRO Annual Meeting.