When giving palliative lung radiation to a patient on immune checkpoint blockade for NSCLC, do you hold immunotherapy?
If not what radiation fractionation regimen is preferred for otherwise good KPS patient?
Answer from: Radiation Oncologist at Community Practice
Most of the palliative lung RT regimens include either 3000 cGy in 10 fractions using 300 cGy per fraction or 3500 cGy in 14 fractions using 250 cGy per fraction. As the experience is limited on the concurrent use of palliative RT with immunotherapy, I withheld immunothearpy while treating the lung ...