Topics:
Radiation Oncology • Thoracic Malignancies • Medical Oncology • Immunotherapy • Non-small cell lung cancer
Do you offer consolidative thoracic radiation for oligometastatic NSCLC following upfront immunotherapy?
In patients who have a mixed response or progression and are poor candidates for other systemic agents, would you consider consolidating the chest? Would you be concerned about a higher pneumonitis risk?
Answer from: Radiation Oncologist at Community Practice
Yes, I do offer consolidation in patients with oligometastatic lung cancer after immunotherapy. Like @Roy H. Decker, often these patients are referred to me at "oligoprogression," when one lesion progresses (often the primary or largest site), but most minor lesions appear to be under control. The m...
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Answer from: Radiation Oncologist at Academic Institution
Its important to point out that these patients can be enrolled on the NRG LU-002, which has recently been amended to include metastatic NSCLC patients who get immunotherapy as first-line therapy and have limited sites of disease afterwards. The trial randomizes to consolidative RT or not, and ...
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Radiation Oncologist at Wake Forest School of Medicine
What do you include in your treatment volumes afte...
What do you include in your treatment volumes afte...