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Page Background

1/03/2016

2

Introduction

Another R...

Radiation sensitivity

Recovery

Redistribution

Repopulation

Reoxygenation

iRradiated volume

RESTORATION (long term recovery)

3

Introduction

Reirradiation of previously treated areas: why?

New primary tumor

Cancer survivors are at an increased risk of developing secondary

malignancies

Pts still retain more risk (e.g. molecular predisposition)

Aetiological factors can continue (e.g. Smoking)

Therapy itself

Within or close to initial high-dose treatment volume

Recurrence

Within or close to original gross tumor volume

Nodes and metastases

4