Treatment of small cell lung tumor using Elekta VMAT
Treatment of small cell lung tumor using Elekta VMAT
Physicists James Bedford, Jim Warrington
Radiographers Helen McNair, Alexandra Aitken
Radiation oncologists: Juliet Brock, Michael Brada
With the support of the Radiotherapy team, Royal Marsden NHS Foundation Trust, UK.
Patient history and diagnosis
A 71-year-old lady presented with a cough, haemoptysis, chest pain and shortness of breath on exertion although she remained of performance status 1. She was a non-smoker with a past medical history of a heart murmur, hypercholesterolaemia and a melanoma of the right leg treated surgically in 1984.Imaging showed a large subcarinal mass measuring 7 x 5cm and a small nodule in the apical segment of the left lower lobe (Figure 1). Histology showed small cell carcinoma of the lung. The disease was staged as limited stage and chemoradiotherapy was prescribed. Chemotherapy consisted of six cycles of Carboplatin and Etoposide. Radiation therapy consisted of 50gy in 25 fractions, concomitant with cycles 5 and 6 of chemotherapy.
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