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Topics:
Radiation Oncology • Thoracic Malignancies • Stereotactic Body Radiotherapy • Non-small cell lung cancer
Is there concern for hemorrhage after SBRT to a lung metastasis that directly involves a branch of the pulmonary artery?
What dose and fractionation would you consider if surgery is not an option?
Answer from: Radiation Oncologist at Academic Institution
Tricky spot. Are you sure it’s invading the PA or is it just nestled up real close. That would change my answer a bit. I have seen direct invasion of the PA and there’s usually some hemoptysis. It’s a very high pressure system and it usually leaks a little. ...
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