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Definitive radiotherapy has historically been reserved for

patients with stage I-III disease.

The most common indication for RT in patients with metastatic

lung cancer has been palliation for pain or other symptoms

However, stage IV lung cancer is a very broad category , and

prior studies have suggested that some patients with stage IV

lung cancer and only a few distant metastases

(‘

oligometastasis

’) may benefit from local therapy to both the

primary tumor and the distant sites of disease .