How do you approach lung tumors with vessel encasement, especially in someone with active hemoptysis?

Topics: Lung Cancer • Radiation Oncology • Thoracic Malignancies • Stereotactic Body Radiotherapy • Pulmonology

Is there any concern about hemorrhage from treatment effect on tumor? Would SABR worsen the chance of fatal hemorrhage/hemoptysis and if so, would you convert to conventional?

Answer from: Radiation Oncologist at Academic Institution

It's a good question and not one that has a ton of published data to support. If you look at the GYN literature for palliation of vaginal bleeding, hypofractioned RT can be a very useful treatment, suggesting a role in other sites. My impression is always that those are very vascular malignanies an...

Comments

Radiation Oncologist at University of Colorado School of Medicine
I agree with Dr Olivier's comments. Luckily, it i...

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