Do you change your definitive therapy approach for a patient with locally advanced central NSCLC with obstruction of a mainstream bronchus and subsequent collapse of the lung?
In a stable patient, do you perform standard chemoRT in 2 Gy fractions with IMRT for urgently start with a few high dose fractions (ex 4Gy/fx) and bridge to a definitive CRT plan? How do you contour your lung volume with a collapsed lung?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Louisville
Answered on
Treating a patient with a collapsed lung with definitive CRT can be difficult. Those patients typically have a higher risk of infection and often have increases in the rates of symptomatic pneumonitis. My first priority is to try to get the lung open before initiating definitive treatment. Often, in...
Join for free or sign in to see the full answer