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Medical Oncology

Radio-Oncology

Cetuximab

Panatimumab

Bevacizumab

Trastuzumab

Ipilimumab

Pembrolizumab

Nivolumab

Afatinib

Lapatinib

Axatinib

Sorafenib

Sunitinib

Pazopanib

Vandetanib

….

Colorectal

Breast

Pancreas

NSCLC

Glioblastoma

Renal cell cancer

GIST

Thyroid

Head & Neck

….

Cetuximab

Head & Neck

Approved targeted drugs

Unsuccessful

Cetuximab

RCHT Head & Neck

Rectal cancer

Esophageal cancer

NSCLC

Bevacizumab

Glioblastoma

Ø

Combining targeted drugs & conventionally fractionated

radio(chemo)therapy has been an unsuccessful strategy

07.09.17

ESTRO SBRT COURSE 2017 - Matthias Guckenberger

5

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Adoption of SBRT in the (oligo)-

metastatic situation

Ø

SBRT for oligo-metastasis has become a standard

of care

Adoption of SBRT for

oligometastasis

Overall

Western

Europe

61% 76%

International Survey of 1007 Radiation Oncologists

Lewis American Journal of Clinical Oncology 2015

07.09.17

ESTRO SBRT COURSE 2017 - Matthias Guckenberger

6