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Initial staging & histopathology

Ø

Biopsy upper lesion: SCC

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Multiple simultaneous primaries vs metastases

Ø

Suspicious

pleural carcinosis

12/2010

07.09.17

ESTRO SBRT Course 2017

3

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Treatment at PD

Re-staging: cT4 (multiple primaries vs metastases) w/o

nodal and w/o extra-thoracic disease

Ø

Upper lobectomy and lower lobe wedge resection

Palliative chemotherapy:

3 cycles Cisplatin & Taxol

Good PR

Poorly tolerated:

EKG changes

Pleural empyema

Herpes esophagitis

PD at 07/2011

12/2010

07/2011

07.09.17

ESTRO SBRT Course 2017

4