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Whole Liver Irradiation (WLI)

• EBRT- for pain from infiltration of capsule

• Relief in pain 60-90%, other symptoms: anorexia, fever, sweating- about 20-

30%

• Low doses 21-30 Gy in 7-19 fractions 1,5 -3 Gy or 1 x 8Gy

• Improvement of PS -25%

• Survival advantage – unclear

• No evidence for better results in combination with chemotherapy or

readiosensitizers

(see review M.Hoyer IJROBP 2012)

Yeo SG Radiation Oncol 2010

JK 38/49