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Topics:
Radiation Oncology • Thoracic Malignancies • Dermatology • Bullous/Blistering Skin Disorders
Would you give lung SBRT to a patient with bullous pemphigoid on the chest and torso?
The patient's lesion is a biopsy-proven adenocarcinoma that has grown over the past several months. They have bullous pemphigoid which is being treated with doxycycline.
Answer from: Radiation Oncologist at Academic Institution
If this patient has a clinically relevant lung cancer (which, by the clinical description, it sounds like it is felt they do) then I would feel comfortable treating them with SBRT. The very focal nature of SBRT makes this a very different scenario than large-field radiation. There is minimal da...
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Answer from: Radiation Oncologist at Academic Institution
I have treated a couple of these patients over the past 20 years. I have not had an issue with toxicity. Simply have a conversation with the patient about the known unknowns and proceed with caution.