Do you resume RT for LS-SCLC after a prolonged break?

Do you complete the originally prescribed RT course, add fractions, treat BID, offer no further TRT, or do something different?

Answer from: Radiation Oncologist at Community Practice

Compressing TRT to 3 or 4 weeks minimizes the chance of breaks more prevalent with 6-7 week plans. You cannot make up for lost effectiveness by resuming after break for whatever reason. I do not break for counts.

Comments

Radiation Oncologist at Mon Health
Didn't you teach me to break for platelets below 5...

Radiation Oncologist at Quillen VA Medical Center
It’s true @Fred…as we had G and GM-CS...

Radiation Oncologist at Mon Health
Thank you, my friend

Answer from: Radiation Oncologist at Community Practice

While many patients don’t like war analogies, our battles against lung cancer often turn into one. We can’t surrender and have to bombard the tumor as hard as possible whenever cure is achievable and remains the goal of care. Push hard to quickly restage with PET and brain MRI, and if cM...

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Do you resume RT for LS-SCLC after a prolonged break?

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