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| {{familytree | | | C01 | | C02 | | | C01=Local or regional recurrence|C02=Systemic [[metastasis]]}} | | {{familytree | | | C01 | | C02 | | | C01=Local or regional recurrence|C02=Systemic [[metastasis]]}} |
| {{familytree/end}} | | {{familytree/end}} |
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| ==Palliative Radiation Therapy Regimens==
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| Listed bellow are the recommended palliative radiation therapy regimens for patients with non-small cell lung cancer according to the 2014 NCCN Non-Small Cell Lung Cancer guidelines<ref name="NCCN">http://www.nccn.org/professionals/physician_gls/pdf/nscl.pdf</ref>
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| * Obstructive disease: Administer fractions of 3 Gy over a period of 2 to 3 weeks to a total dose of 30 to 45 Gy.
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| * Bone metastases associated with soft tissue mass: Administer fractions of 4 to 3 Gy over a period of 1 to 2 weeks to a total dose of 20 to 30 Gy.
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| * Bone metastases not associated with soft tissue mass: Administer fractions of 8 to 3 Gy over a period of 1 to 14 days to a total dose of 8 to 30 Gy.
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| * Patients with poor performance status and symptomatic chest disease: Administer fractions of 8.5 Gy over a period of 7 to 14 days to a total dose of 17 Gy.
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| * Metastatic disease in patients who have a poor performance status: Administer fractions of 8 to 4 Gy over a period of 1 to 7 days to a total dose of 8 to 20 Gy.
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| * Whole brain radiation therapy regimens for metastases to the brain are the following <small><small><small>'''Adapted from the 2014 NCCN Central Nervous System Cancers guidelines'''<ref name="NCCNCNS">http://www.nccn.org/professionals/physician_gls/pdf/cns.pdf</ref></small></small></small>:
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| :* 10 fractions of 3 Gy each to a total of 30 Gy.
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| :* 15 fractions of 2.5 Gy each to a total of 37.5 Gy.
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| :* 5 fractions of 4 Gy each to a total of 20 Gy. Good option for patients with poor performance status.
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| ==References== | | ==References== |