Topics:
Radiation Oncology • Thoracic Malignancies
Would you consider a third course of radiation to the same site for late lung cancer in-field recurrence?
Similarly, would SBRT be an option for a small central persistent node? What maximum total BED would you accept before no longer recommending additional radiation assuming the patient has an excellent performance status and has declined chemotherapy?
Answer from: Radiation Oncologist at Academic Institution
There are several important issues to consider before you even considering treating this patient1. Are you sure it's a recurrence? If PET/CTs are used for follow up, false positives are very common. It is vital to ensure there is nodularity (more likely to be a recurrence). Offering a course of anti...
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Answer from: Radiation Oncologist at Academic Institution
Here are my thoughts:
Where the recurrence is relative to surrounding OARs is critical. For example(s):
A peripheral pulmonary nodule near the chest wall and lateral to the central structures, plexus, cord, etc with surrounding fibrosis from prior treatment is a much safer bet for re-re-...