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    The role of postoperative thoracic radiotherapy and prophylactic cranial irradiation in early stage small cell lung cancer: Patient selection among ESTRO experts

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    Authors
    Putora, PM
    De, RD
    Glatzer, M
    Widder, J
    Van, HP
    Troost, EGC
    Slotman, BJ
    Ramella, S
    Pottgen, C
    Peeters, S
    Nestle, U
    McDonald, F
    Le, PC
    Dziadziuszko, R
    Belderbos, J
    Faivre-Finn, Corinne
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    Affiliation
    Department of Radiation Oncology, Kantonsspital St. Gallen, Switzerland;
    Issue Date
    2019
    
    Metadata
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    Abstract
    BACKGROUND: The role of prophylactic cranial irradiation (PCI) and thoracic radiotherapy (TRT) is unclear in resected small cell lung cancer (SCLC). METHODS: Thirteen European radiotherapy experts on SCLC were asked to describe their strategies on PCI and TRT for patients with resected SCLC. The treatment strategies were converted into decision trees and analyzed for consensus and discrepancies. RESULTS: For patients with resected SCLC and positive lymph nodes most experts recommend prophylactic cranial irradiation and thoracic radiotherapy. For elderly patients with resected node negative SCLC, most experts do not recommend thoracic radiotherapy or prophylactic cranial irradiation. CONCLUSION: PCI and TRT are considered in patients with resected SCLC and these treatments should be discussed with the patient in the context of shared decision-making.
    Citation
    Putora PM, De Ruysscher D, Glatzer M, Widder J, Van Houtte P, Troost EGC, et al. The role of postoperative thoracic radiotherapy and prophylactic cranial irradiation in early stage small cell lung cancer: Patient selection among ESTRO experts. Radiother Oncol. 2019;145:45-8.
    Journal
    Radiotherapy and Oncology
    URI
    http://hdl.handle.net/10541/622720
    DOI
    10.1016/j.radonc.2019.11.022
    PubMed ID
    31887577
    Additional Links
    https://dx.doi.org/10.1016/j.radonc.2019.11.022
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.radonc.2019.11.022
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