Feasibility of stereotactic radiotherapy for lung lesions and conventional radiotherapy for nodal areas in primary lung malignancies.
BACKGROUND
Combined stereotactic body radiotherapy (SBRT) for lung lesions and conventional radiotherapy (CRT) for nodal areas may be more effective than CRT alone in patients with locally advanced lung cancer.


METHODS
This study included 21 patients with small primary lung tumors distant from the regional nodal areas. The SBRT dose was 40-60 Gy in 4 fractions. CRT doses were 66 Gy in 30 fractions for non-small cell lung cancer and 52.5 Gy in 25 fractions for small cell lung cancer.


RESULTS
The median follow-up duration was 12 months, and the median survival was 13 months. The 1 year overall survival, local recurrence-free survival, and distant metastasis-free survival rates were 60.5, 84.8, and 62.1%, respectively. Two patients experienced in-field local recurrence combined with out-field regional recurrence and/or distant failure. The major recurrence pattern was distant failure (crude incidence, 43%). Three patients aged ≥79 years experienced grade ≥ 3 acute radiation pneumonitis, and one also had idiopathic interstitial pneumonia.


CONCLUSION
The combination of SBRT for the lung lesion and CRT for the nodal region seems to be effective and safe for lung malignancies. However, patients older in age and/or with underlying pulmonary disease require stricter lung dose constraints.
['Kim|Yeon Joo|YJ|', 'Kim|Su Ssan|SS|', 'Song|Si Yeol|SY|', 'Choi|Eun Kyung|EK|']
D000368:Aged D000369:Aged, 80 and over D002289:Carcinoma, Non-Small-Cell Lung D019583:Dose Fractionation, Radiation D005240:Feasibility Studies D005260:Female D006801:Humans D008175:Lung Neoplasms D015182:Lymphatic Irradiation D008297:Male D008875:Middle Aged D009364:Neoplasm Recurrence, Local D000072078:Positron Emission Tomography Computed Tomography D016634:Radiosurgery D012189:Retrospective Studies
Radiotherapy Lung cancer Survival Toxicity