How would you treat surgically inoperable large sarcomatoid tumor in the left upper lobe causing rib erosion and pain?  

How would you utilize radiation to address a 10 cm-sized tumor with rib erosion and tumor expanding past ribs? How do you manage pain? What is the role of targeted agents and chemotherapy? What is the role of definitive RT for those who done want systemic treatment?



Answer from: Radiation Oncologist at Academic Institution