2017_SBRT_Course Book
Thoracic re-treatment
Histologies
Location
Indication for Tx
NSCLC
In-field
Curative Palliative
SCLC
Out-field
Esophageal Ca
Lung Hilum
Pain
Thyroid Ca Thymus Ca Lymphomas Metastasis
Bleeding Dyspnea
Bronchial stump
Mediastinum
Atelectasis
Chest wall
Neurological symptoms
Surgery
Chemotherapy Targeted agents Radiotherapy
Multidisciplinary challenge !
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„Low-dose“ re-irradiation for palliation
Literature review: • 379 patients by 13 publications (1982-2014)
• 86% symptomatic @ time of re-RT • Median re-irradiation dose 36 Gy
Drodge Ann Palliat Med 2014
Ø Few patients !
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