How do you manage early and symptomatic fibrosis in lung cancer patients after RT?

Fibrotic changes following lung radiotherapy are common, and I think the challenge here is determining whether the pulmonary symptoms are due to radiotherapy (pneumonitis) or exacerbation of underlying pathology.

Initiating a patient on steroids is typically a several week commitment, with subsequent...

With the widespread use of immunotherapy, we also need to keep in mind the prevalence of drug-induced inflammation. We also need to be careful with the upfront use of steroids (which I used to start at 20mg prednisone bid). There is data to support little change in the efficacy of immunotherapy with...