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Would you start any treatment for radiation pneumonitis if there is a large area of consolidation in the irradiated lung field but the patient is asymptomatic?

Would you consider pentoxifylline and vitamin E to mitigate fibrosis?
2 Answers
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

If the timeline matches then for radio graphic only pneumonitis, I would favor observation with a repeat scan in a few months.

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Radiation Oncology · University of Texas Health Science Center San Antonio MD Anderson Mays Cancer Center
Answered on

No. For asymptomatic CT findings, I usually follow closely to ensure clinical stability and ideally radiographic resolution. Steroids have an unfavorable toxicity profile and may interfere with systemic therapies.

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