How would you treat a locally recurrent NSCLC abutting the heart that was previously treated with conventional chemoRT?

If you treat with SBRT, how would you constrain the heart given the significant prior involvement of the pericardium in this area in the PTV, assuming the new PTV abuts the heart (one year later)?

Answer from: Radiation Oncologist at Community Practice

Like any reirradiation case, there is no one correct answer regarding this difficult scenario. The amount of time elapsed since prior RT, how much dose was received by the heart from the conventional treatment, cardiac/pulmonary comorbidities, life expectancy, performance status, other medical/surgi...

Comments

Radiation Oncologist at National Cancer Institute
A crucial piece of information is missing: Does th...

Radiation Oncologist at UCLA | VA Greater Los Angeles Healthcare System
The (realistic) goals of care should certainly be ...

Radiation Oncologist at Jacob E Locke MD PA
If no palliation of symptoms and no expectation of...

Radiation Oncologist at Beaumont Health System
If the patient has a good performance status and r...

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How would you treat a locally recurrent NSCLC abutting the heart that was previously treated with conventional chemoRT?

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