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Histologies
Location
Indication for Tx
NSCLC
In-field
Curative
SCLC
Out-field
Palliative
Esophageal Ca
Lung
Pain
Thyroid Ca
Hilum
Bleeding
Thymus Ca
Bronchial stump
Dyspnea
Lymphomas
Mediastinum
Atelectasis
Metastasis
Chest wall
Neurological symptoms
Surgery
Chemotherapy Targeted agents Radiotherapy
Multidisciplinary challenge !
Thoracic re-treatment
07.09.17
ESTRO SBRT 2017 - Matthias Guckenberger
29
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„Low-dose“ re-irradiation for palliation
Drodge Ann Palliat Med 2014
Literature review:
•
379 patients by 13 publications (1982-2014)
•
86% symptomatic @ time of re-RT
•
Median re-irradiation dose 36 Gy
Ø
Few patients !
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30