How do you treat non-small cell lung cancer presenting with SVC syndrome?

The following text is copied from the chapter on SVC syndrome in the 3rd edition of the "Essentials of Clinical Radiation Oncology" textbook, of which I am the senior editor. It provides a brief summary of the general approach to consider when addressing this syndrome. Please refer to the textbook i...

If it is newly diagnosed, I always make sure that they have completed a staging workup with brain MRI and CT C/A/P with good contrast, as PET is difficult to obtain as an inpatient.

The emergent treatment of SVC syndrome depends on the severity of symptoms and whether it is acute. Many times, if it ...

It depends on a number of things. I would say if the patient presents with metastatic disease, I would still favor a 5-10 fraction (20-30 Gy total) approach to palliate, and maybe consider a stent if IR feels it is possible.

Alternatively, if this is locally advanced, then I would attempt definitive...