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Re-Irradiation of recurrent non-small cell lung icancer
Hunter, B. Crockett, Cathryn Faivre-Finn, Corinne Hiley, C. Salem, Ahmed
Hunter, B.
Crockett, Cathryn
Faivre-Finn, Corinne
Hiley, C.
Salem, Ahmed
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Abstract
Locoregional recurrence occurs in 10%-30% of non-small cell lung cancer (NSCLC) after treatment with definitive (chemo)radiotherapy. Re-irradiation is the main curative-intent treatment option for these patients; however, it represents a therapeutic challenge for thoracic radiation oncologists. Re-irradiation practices are variable worldwide with lack of agreement on the optimal dose or the cumulative maximum dose acceptable for critical organs. The role of re-irradiation in NSCLC is also not clearly defined in the era of immunotherapy. In this review, we will present published and on-going re-irradiation studies for recurrent NSCLC. We will appraise available evidence for critical organ dose constraints and provide a framework for future therapeutic approaches and trials
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Date
2021
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Article
Citation
Hunter B, Crockett C, Faivre-Finn C, Hiley C, Salem A. Re-Irradiation of Recurrent Non-Small Cell Lung Cancer. Semin Radiat Oncol. 2021;31(2):124-32.