(肿瘤放射物理学教材）04.1Radiotherapyoflungcancer-English.pptVIP

Incidence of RT for NSCLC -- Stage Dependent Stage I: 41.0%±5.5% Stage II: 54.5%±6.5% Stage III: 83.5%±10.6% Stage IV: 65.7%±7.6% 53.6%±3.3%：SCLC need RT 45.4%±4.3%：in the initial treatment 8.2%±1.5% ： later for recurrence or progression The status of RT in L Ca treatment Introduction Principle of treatment of L Ca The status of RT in L Ca treatment Principle of RT in L Ca Indications for RT of lung cancer Delineation principles of tumor target Radiotherapy Principle of RT of L Ca China: Standard of diagnosis and treatment of?primary?lung cancer 2015 USA: National Comprehensive Cancer Network , NCCN 2016 Principle of RT of L Ca Radical RT Palliative RT Aduvant RT Prophylactic RT Radical RT KPS score≥70 NSCLC: Medical or personal reason rufuse operation Unresectable local advanced NSCLC SCLC: LC Palliative RT Advanced stage：reduce?symptoms. NSCLC with single brain metastasis: operation with RT or RT alone Aduvant RT Neoaduvant RT: decrease the size of tumor Aduvant RT: for positive surgical margin，as for pN2 positive, it is better to give RT Note: plan should be based on pathology and operation record Prophylactic RT SCLC: the RT of the whole brain after effective system treatments. The combination of chemo and RT depends on the stage, purpose, and the status of patients: concurrent or sequential Chemotherapy Regimens: EP or TP Note: combination of chemo and RT Note: combination of chemo and RT The potential toxicity will increase, inform patients before treatment The long time break is not acceptable Radiotherapy Introduction Principle of treatment of L Ca The status of RT in L Ca treatment Principle of RT in L Ca Indications for RT of lung cancer Delineation principles of tumor target Indications for NSCLC Stage I: unable to receive operation NSCLC patients，RT is a effective method Post operation: Positive mediastinal lymph node （pN2）, chemo and RT Post operation: positive margin, pN2，concurrent chemoradiotherapy as soon as possible II-