title: Hypofractionated radiotherapy as local hemostatic agent in advanced cancer.
abstract: OBJECTIVE
  Tumor bleeding continues to remain a challenge in an oncological setting, and radiotherapy has been studied as a local hemostatic agent. We studied the role of local radiotherapy in controlling bleeding at our center.
  
  
  METHODS
  We reviewed 25 treated cases (cancer urinary bladder: 12, lung cancer: 5, cervical cancer: 4, uterine cancer: 1, rectal cancer: 2, schwanoma: 1) at our center from March 2008 to December 2010. All patients had either an advanced or recurrent disease. Radiotherapy schedule was either 20 Gray in 5 fractions or 15 Gray in 5 fractions and was delivered with Cobalt 60.
  
  
  CONCLUSIONS
  Of 25 patients, 22 (88%) responded, and there was complete cessation of bleeding. Both 15 Gray and 20 Gray dose schedule had equal efficacy. Treatment was well tolerated without any intermission. Radiotherapy is a safe and effective option in controlling tumor bleeding.
authors.affiliation: Department of Radiation Oncology, Regional Cancer Centre, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, India.
authors.forename: Malik Tariq
authors.initials: MT
authors.lastname: Rasool
authors.forename: Najmi Arshad
authors.initials: NA
authors.lastname: Manzoor
authors.forename: Syed Arshad
authors.initials: SA
authors.lastname: Mustafa
authors.forename: Lone Mohammad
authors.initials: LM
authors.lastname: Maqbool
authors.forename: Fir
authors.initials: F
authors.lastname: Afroz