2017_SBRT_Course Book

Thoracic re-treatment

Histologies

Location

Indication for Tx

NSCLC

In-field

Curative Palliative

SCLC

Out-field

Esophageal Ca

Lung Hilum

Pain

Thyroid Ca Thymus Ca Lymphomas Metastasis

Bleeding Dyspnea

Bronchial stump

Mediastinum

Atelectasis

Chest wall

Neurological symptoms

Surgery

Chemotherapy Targeted agents Radiotherapy

Multidisciplinary challenge !

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„Low-dose“ re-irradiation for palliation

Literature review: • 379 patients by 13 publications (1982-2014)

• 86% symptomatic @ time of re-RT • Median re-irradiation dose 36 Gy

Drodge Ann Palliat Med 2014

Ø Few patients !

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