| Autor: |
Baltayiannis, Nikolaos, Lagoudellis, Andreas, Douvlis, Christos, Gavalaki, Aikaterini, Batika, Pelagia, Petala, Xrysoula, Pavlakou, Afroditi, Chatzimichalis, Antonios |
| Předmět: |
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| Zdroj: |
Scientific Chronicles / Epistimonika Chronika; 2021, Vol. 26 Issue 1, p7-24, 18p |
| Abstrakt: |
Lung cancer is the most commonly occurring cancer in men and the third most commonly occurring cancer in women. Contrary to other cancers, lung cancer often occurs in patients with comorbidities that can prevent the realisation of some treatments. The recommended treatment for patients presenting with stage I non-small cell lung cancer (NSCLC) is an anatomical surgical resection-lobectomy- and a systematic lymph node dissection. Many patients are, however, unfit to undergo surgery and consequently they often do not receive any curative therapy. This involves the elderly patients or patients with many co-morbidities. When an elderly patient with co-morbidities comes to the thoracic surgeon with early-stage lung cancer, if he is healthy and in good general condition he is taken to the operating room and undergoes lobectomy and lymph node dissection. If he is vulnerable and appropriate treatment is considered high risk he is treated with alternative therapies. SBRT is important alternative therapy. Stereotactic body radiation therapy (SBRT), interchangeably known as stereotactic ablative radiotherapy (SABR) is a modality that delivers ablative doses of radiation to extra-cranial targets with a degree of precision and accuracy above what can be reasonably achieved with conventionally fractionated external beam radiotherapy. Additionally, SBRT as a noninvasive therapy offers an attractive option for patients who are opposed to a surgical option. But questions have arisen regarding the suitability of SBRT for medically operable patients. Data from new trials are needed more than ever to inform and guide our multidisciplinary decisions for patients with earlystage NSCLC who are fit enough to undergo lung cancer surgery but may instead be more interestedin SBRT. In any case, good cooperation between surgeons and radiotherapists is of particular importance for the better treatment of these vulnerable patients. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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