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ESTRO SBRT Cousre 2014 - Matthias Guckenberger
Interdisciplinary discussion
Histopathological confirmation of cancer:
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Lesion not accessible for transbronchial biopsy
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Increased risk associated with transthoracic biopsy
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High likelihood of primary NSCLC:
Smoking history
New lesion (patient hat chest CT scan 5 years ago)
FDG-PET positive
Typical CT morphological features: spiculation
Treatment:
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Pulmonary function not sufficient to undergo lobectomy
Radical SBRT
Case example Würzburg using Elekta technology