286 / 671
SVCS treatment recommendations I
• Asses life threatening symptoms:
cerebral or laryngeal oedema (5%),
tracheal obstruction and
pericardial effusion
(Yu 2008 Thorac Oncol, Soufe Intervent Radiol, 2013)
– If yes
:
endovascular stenting (optimal, fast relief), or immediate RT or CHT
– If less severe
:
histology first, staging , MDT.
• SCLC, DLBCL – CHT
and
RT
• NSCLC and other – stenting
and
RT
• RT vs CHT similar response rate
– For SCLC 76,9% vs 77.6%
– For NSCLC 59% vs 63%
JK 19/49