Topics:
Lung Cancer • Radiation Oncology • Thoracic Malignancies • Medical Oncology • Non-small cell lung cancer • Small cell lung cancer
If you are treating a patient with palliative radiation for hemoptysis do you require chemotherapy to be held?
If you are using a standard 30/10 fractionation, is there a benefit to keeping chemo on board for radio-sensitization?
Answer from: Radiation Oncologist at Community Practice
This is an interesting question. I would like to thank @Balazs Halmos for his help with this.
In recent years, I have rarely found myself asking colleagues from Medical Oncology to hold chemotherapy for patients who require palliative radiotherapy for hemoptysis. That being said, very few such pati...
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Radiation Oncologist
It is palliation. Minimize morbidity. Single modality with this dose regimen. Any increase in longevity when aim is palliative is a bonus to primary aims of symptom relief, quality of life, and maintenance of function.
Answer from: Radiation Oncologist at Community Practice
Good question. Ordinarily because the current standard of care is NO concurrent chemo with palliative lung cases, so in this event, not a real issue. But on occasion you will have some "curative" cases who are candidates for concurrent chemo-RT. The issue then is location of the bleeding&n...
Answer from: Radiation Oncologist at Community Practice
Over the years I have seen three cases of exsanguinating hemoptysis due to BA fistula. Risks include significant hemoptysis and bulky or dorsally located left main tumor. The PA is in contact with the membranous portion of the bronchus. The thought is to minimize rapid tumor regression
Comments
Radiation Oncologist at Cancer Care Centers of Brevard
No unless Avastin is being given
No unless Avastin is being given