- SRT for a solitary relapse lung cancer with on-line correction using Elekta Synergy®
INSTITUTION: Instituto Oncológico, Consorcio Hospitalario Provincial de Castellón
PATIENT: 52-year-old male
DIAGNOSIS: T3 N0 M0 NSCLC (epidermoid) in left lung
PLAN: 6 field non-coplanar
IMAGE GUIDANCE: Elekta VolumeViewTM
TREATMENT:48Gy in 8 fractions over three weeks
SRT for a solitary relapse lung cancer with on-line correction using Elekta Synergy®
Consorcio Hospitalario Provincial de Castellón
Authors
Radiation Oncologist: Carlos Ferrer, Angel L. Sanchez
Physicist: Agustin Santos
Nurses-Technicians: Marisa Miró, Mercedes Broseta, Laia Arzo, Raquel Suarez
Patient history and diagnosis
A 52-year-old man was diagnosed in 2001 with a T3 N0 M0 NSCLC (epidermoid) in left lung. This was primarily treated with induction chemotherapy (CDDP-Taxotere) 3 cycles, followed by pneumonectomy and mediastinal lymphadenectomy. The pathology suggested a 4cm epidermoid carcinoma with 22 lymph nodes negative.
The patient was followed-up in November 2007 and was found to have haemoptysis. A CT scan showed a solitary 2.5cm nodule in the right hilum. Fibrobronchoscopy detected infiltration of the epidermoid carcinoma. A PET/CT showed a mass of 2.6cm with a SUV of 25. Following evaluation the patient was re-staged and no other relapse sites were detected. Respiratory function was: FEV-1: 1,76 l, with VC 57%.
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