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Opportunity cost in palliation of NSCLC

• Median survival with inoperable NSCLC

PS 2 - 3 or mets:

120 days

Asymptomatic

No treatment; no toxicity; no loss of survival

Symptomatic

1 treatment for equivalent symptom control and

toxicity to longer treatment

BUT…will any patients live longer with 20Gy/39Gy