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Palliative management of lung cancer

• Chemotherapy for good PS patients and advanced disease

Improves survival by around 2 months

In NSCLC improves QoL

? Role of second and third line tretament

• Palliative radiotherapy for specific symptoms

Cough, haemoptysis, chest pain, SOB

Hypofractionation

?more prolonged RT for good PS patients

• PS 2-3: consider BSC alone