Respiratory Flashcards
in which type of pathology would prophylactic brain RT be done?
what would the prescription be?
small cell
2500/10
what is the preferred treatment regimen for non small cell carcinoma?
surgery - lobectomy preferred over wedge resection
when may SBRT be considered
medically inoperable node negative disease up to 5cm in size
if medically inoperable NSCLC and SBRT unavailable what is the definitive treatment regimen?
RT +/- chemo
What is the dose range for RT of inpoperable NSCLC
60-70Gy conventional fractionation `
what is the standard of care for NSCLC locally advanced and inoperable
chemoRT
considering they are good performance status
what type of chemo regimens are used for NSCLC?
cisplatin based
what is the primary treatment modality for SCLC
chemotherapy - SCLC is very sensitive to chemotherapeutic agents
and concurrent RT
what are the post and preoperative doses for NSCLC?
pre - 45 to greater than 60
post -50-54 with a boost to of 54-60 for those with positive margins
SBRT dose for NSCLC?
34/1
54-60/3 over 1.5-2 weeks
48/4 consecutive
50-60/5 consecutive for node negative disease
RT dose for SCLC?
45 bid (1.5fx) 60-70 daily (1.5-2Gy fxs)
when might brachytherapy be utilized?
alternative for surgery or in combo with EBRT as boost
how is brachytherapy deliviered
permanent implants of I-125
standard of care for superior sulcus lung ca?
induction chemoRT followed by resection
cisplatin based chemo
RT dose for superior vena cava syndrome?
high dose fractions over 2-3 days (dose greater than 3Gy) followed by daily doses of 1.8-2Gy
OR
3Gy x x10