What is the role of local control +/- whole lung irradiation in a patient with relapsed/refractory Ewing sarcoma to the hilum plus multiple lung nodules?  

Patient initially achieved CR with VAC-IE with resolution of presumed lung mets and 100% necrosis in LLE primary tumor on BKA. Then was NED again after VIT and Auto-SCT with two year disease free interval between each treatment course. Currently relapsed with a large hilar mass and scattered 3mm ipsilateral pulmonary nodules.

Would you offer radiation? Any role for whole lung vs hilar mass radiation?



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Shariati Hospital, Tehran Universit of Medical Sciences
If the boost is given through SBRT technique, how ...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Penn State Cancer Institute, Penn State Milton S. Hershey Medical Center
What dose would you boost the nodules to afterward...
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