For LS-SCLC with radiographic CR after chemotherapy, is there a time point beyond which you do not offer radiation if there is a delay in initiation of radiation?
Eg T2N2 who required management of cardiac comorbidities leading to months-long delay but scans are still clear.
Answer from: Radiation Oncologist at Community Practice
I don't think we really have any data guiding this scenario. We know that optimal benefit is achieved when definitive RT is given within the first 2 cycles of chemo. However, I don't think that chemo alone is adequate for total eradication of disease. If the patient is within 1-2 mos of completing c...
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Radiation Oncologist at Coastal Carolina Radiation Oncology Thanks for your answer. Agree, it’s an odd s...
Answer from: Radiation Oncologist at Community Practice
This is a very interesting scenario, with a number of features that make it particularly unique: both the fact that the patient was treated solely with chemotherapy, that the patient had a complete radiographic response from chemo alone, that they are now an appropriate candidate for radiation when ...
Answer from: Radiation Oncologist at Community Practice
It sounds like another issue is that, with a radiographic CR, there would no longer be a target though? Diagnostic scan probably would have been taken with deep inspiration and might not match reliable to a CT sim scan?
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Radiation Oncologist at UMass Memorial Medical Group @Christine N. Chang-Halpenny, you're correct that ...
Radiation Oncologist at National Institutes of Health Clinical Center Many large phase III studies for LS-SCLC like Inte...
Thanks for your answer. Agree, it’s an odd s...