Locally-Advanced Duodenal Cancers

I know these are rare, but curious how other people are practicing. Just saw a guy who presented with a proximal tumor and multiple positive nodes. They gave him upfront FOLFOX and he actually progressed clinically (no radiographic response but worsening clinical symptoms though not even close to obstructed). I was honestly surprised how "controversial" this case was at our tumor board and I am curious what everyone would recommend? I (successfully) argued for neoadjuvant chemorads. Some of... Locally-Advanced Duodenal Cancers
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums