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2023 World Conference on Lung Cancer (Posters)
EP17.04. Lung Stereotactic Body Radiation Therapy ...
EP17.04. Lung Stereotactic Body Radiation Therapy in a Developing Country: Patterns of Safety and Treatment Toxicities - PDF(Abstract)
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This study aimed to analyze the safety and treatment toxicities of lung stereotactic body radiation therapy (SBRT) in a developing country. The researchers retrospectively analyzed the clinical profile, treatment effects, and safety of up to 10 fractions of pulmonary SBRT in selected patients treated over a period of 30 months. The data was statistically analyzed for demographic standards, and clinical profiles, dosimetric parameters, adverse effects, and post-radiotherapy differences were evaluated.<br /><br />A total of 27 individuals received pulmonary SBRT, with a maximum of 10 days of treatment. The majority of patients were women and non-smokers. All patients were required to cease smoking during and after treatment. Acute adverse effects were experienced by 12 patients, but no grade 5 CTAE (Common Terminology Criteria for Adverse Events) were observed. Reported toxicities included cough, dyspnea, hemoptysis, and rib fracture.<br /><br />The minimum total dose administered was 800cGy in a single dose/day, while the maximum was 6000cGy within 8 days. The patients had various types of cancer, including lung metastases from the colon, metastases from the breast, and primary lung cancer. Metastatic lung cancers required a higher dose of radiation, with the lowest dose being 3000cGy fractionated over 5 days for breast cancer metastases and 6000cGy fractionated over 8 days for lung metastases.<br /><br />Seven deaths were reported after SBRT, and 17 patients are alive after treatment. The study concludes that SBRT using 1,3,5,8, or 10 fractions is a safe and effective treatment option for selected patients in developing countries, aligning with published data on survival and toxicities.
Asset Subtitle
Renne Augusto Bart Aguiar
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Speaker
Renne Augusto Bart Aguiar
Topic
Global Health, Health Services & Health Economics: Real World Data
Keywords
lung stereotactic body radiation therapy
developing country
clinical profile
treatment effects
safety
pulmonary SBRT
adverse effects
dosimetric parameters
CTAE
metastatic lung cancers
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