Advanced Skills in Modern Radiotherapy 2018

• Definitive radiotherapy has historically been reserved for patients with stage I-III disease.

• The most common indication for RT in patients with metastatic lung cancer has been palliation for pain or other symptoms

• However, stage IV lung cancer is a very broad category , and prior studies have suggested that some patients with stage IV lung cancer and only a few distant metastases (‘ oligometastasis ’) may benefit from local therapy to both the primary tumor and the distant sites of disease .