Would you give lung SBRT to a patient with bullous pemphigoid on the chest and torso?
The patient's lesion is a biopsy-proven adenocarcinoma that has grown over the past several months. They have bullous pemphigoid which is being treated with doxycycline.
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Cleveland Clinic
Answered on · Updated on
If this patient has a clinically relevant lung cancer (which, by the clinical description, it sounds like it is felt they do) then I would feel comfortable treating them with SBRT. The very focal nature of SBRT makes this a very different scenario than large-field radiation.
There is minimal data ov...
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Mednet MemberInvited Expert
Radiation Oncology · UC San Diego School of Medicine
Answered on
I have treated a couple of these patients over the past 20 years. I have not had an issue with toxicity. Simply have a conversation with the patient about the known unknowns and proceed with caution.
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