When do you offer SBRT for a small, slowly growing lung lesion?

Topics: Radiation Oncology • Thoracic Malignancies • Medical Oncology

How do you decide when to “pull the trigger” in these cases where the growth trajectory is slow?

Answer from: Radiation Oncologist at Community Practice

I caution ALL radiation oncologists from pulling the trigger on a case like this in a vacuum. Why did I use the word "caution"? It's because we recently studied how often a radiation oncology program is comfortable delivering SBRT w/o histopathological confirmation, and the range was between 0 - 61%...

Comments

Radiation Oncologist at RadiantCare
Great response. In our TB, we consider it when it ...

Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
These are great pearls. However, I'm going to doub...

Radiation Oncologist at RadiantCare
Absolutely

Radiation Oncologist at Allan Blair Cancer Centre
If possible - I would seek out opportunities to jo...

Answer from: Radiation Oncologist at Community Practice

To me, the most important part is the conversation that's had with the patient prior to making a decision. I show the new and old CTs to the patient during consultation and discuss the potential for growth, assumed metastatic potential, etc., with them and get them involved in the decision-making pr...

Comments

Radiation Oncologist at West Virginia University
Many community radiation oncologists don't necessa...

Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
Thanks for sharing your experience. Most of us hav...

Radiation Oncologist at Baptist Medical Center-Princeton
Cases like this are best reviewed in multidiscipli...

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