Would you ever initiate steroids during conventional lung radiotherapy in a patient who develops dry cough during treatment?

Topics: Radiation Oncology • Thoracic Malignancies

Does the dosimetry of the plan (e.g. exceeding V20 constraints) impact your decision?

Answer from: Radiation Oncologist at Community Practice

I have not yet done so, though I would never say never (perhaps worth considering if cough is very severe, if V20 or MLD is very high, and if one can see significant inflammatory changes on CBCT). Instead, I tend to treat the cough with typical supportive medications.

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Radiation Oncologist at Locum Tenens
Avoid intermittent steroids though (MOPP + RT = &g...

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