Would you utilize SRS/SBRT in a patient with oligometastatic disease from adenocarcinoma of the lung who is unable to receive standard chemotherapy?
For example, in a patient minimal brain and liver metastasis, would you treat all sites definitively?
Answer from: Radiation Oncologist at Academic Institution
Ultimately, any attempt at promoting a durable progression free survival period for patients with metastatic NSCLC, even if oligometastatic, usually would require the ability of the patient to tolerate some systemic therapy. Nearly all of the studies that have incorporated local therapies in the for...
Answer from: Radiation Oncologist at Academic Institution
I agree with @Puneeth Iyengar. The principal focus of using SBRT/local therapy for oligometastatic has come to bear more recently in an era with improved systemic therapy, and an understanding that the sites most likely to progress after an initial course of systemic therapy are the initial sites of...