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Oncologists and cancer surgeons need to open up a debate about which surgical patients should receive radiotherapy instead. My suggestions will follow.
Coronavirus: NHS waiting list 'could hit 10 million this year' - BBC News #COVID19 bbc.co.uk/news/health-52…
I specialize in thoracic & urological malignancy, so will only start #cancerdebate in these areas.
Prostate
1. Offer Active Surveillance or SBRT instead of prostatectomy for vast majority of low risk & low-intermediate risk disease
2. SBRT for intermediate risk disease.
3. If things get really desperate then consider SBRT for higher risk groups as well eg PACE C criteria

Renal:
1. Consider SBRT instead of partial nephrectomy in selected cases (<6cm size).

Bladder
1. Offer RT over surgery in most cases. Surgery for salvage

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