How do you treat a focal pericardial metastasis?

In the era of oligometastatic disease, I understand the question. But an isolated event found at the pericardium is a stretch of concept. The issues of both the target and its physiological motion, and the presumably late cardiac injury, balance a choice of what’s best for the patient. How likely is...

Both doable and appropriate in the selected patient. I have seen patients die of solitary progression of pericardial/myocardial metastasis that was ignored by their med onc (or, in the case I remember most vividly, their gyn onc) team because they assumed there wasn't a reasonable radiological optio...

We follow our standard SBRT practices for simulation and planning of all lung parenchymal tumors, independently of tumor location. This would be the process used specifically for a pericardial lesion as well. Target motion is delineated using 4DCT imaging, which generates an ITV from which we create...