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Summary II
• Radiotherapy is
effective in emergencies
: SVCS, MAO, bleeding, dyspnea
and dysphagia.
• In
life threating symptoms
– be fast, but careful, detailed physical
examination +/- other test are necessary to prepare
optimal plan
of tretment
(
stent first?, transfusion? Is there time for pathology? Immediate RT?)
• Remember,
RT is not a knife – relief takes time
(hours to days). Make sure
your patient is safe.
• Carefull planning, delineation and consultation are
VERY IMPORTANT
in
palliative treatment, don’t be afraid to
use modern technology if necessary!
(see SBRT for liver, IGRT for re-irradiation etc.)
• Communicate
with your patients in whole process to find the best way of
treatment
together
.
JK 49/49