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An example
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Patient History
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A 79 year old male presented with increased shortness of breath and
mass on a chest x-ray in February 2015. The mass was located in
the left middle lobe and had a diameter of 12 mm on a CT- scan.
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Bronchoscopy revealed a squamous cell carcinoma and the PET(CT)
scan showed a solitary PET-positive nodule in the lung.
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The patient had a history of COPD GOLD class III with a FEV1
(forced expiratory volume) of 1130 ml (46 % of the predicted value)
and a history of cerebrovascular accidents and transient ischemic
attack.
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The ventilation/perfusion scan showed that the right lung contributed
48% of the ventilation/perfusion capacity while the left lung
contributed 42 %.
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As the patient had mediocre lung function, he was considered
inoperable.
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This patient was referred for curative stereotactic treatment with the
CyberKnife.
SBRT 2017 - D. Verellen