Unilateral vocal cord paralysis in squamous cell lung cancer treated with stereotactic body radiation therapy

2016 ◽  
Vol 15 (4) ◽  
pp. 405-407 ◽  
Author(s):  
Yusef A. Syed ◽  
Sung Jun Ma ◽  
Jorge Gomez

AbstractAimWe report a unique presentation of a late side effect associated with stereotactic body radiation therapy (SBRT) of the lung.SummaryThe case of a 65-year-old male who developed left-sided vocal cord paralysis after two courses of SBRT for squamous cell lung carcinoma is presented. The patient developed this late toxicity 15 months after his second treatment, which was to address a recurrence in the perihilar region of the left upper lobe.

2019 ◽  
Vol 19 (4) ◽  
pp. 333-340
Author(s):  
I. Menoux ◽  
D. Antoni ◽  
N. Santelmo ◽  
P. Truntzer ◽  
C. Schumacher ◽  
...  

AbstractAim:Stereotactic body radiation therapy for lung tumours can expose patients to radiation pneumonitis (RP) (<6 months after irradiation) and lung fibrosis (beyond 6 months). The aim of this study was to describe post-irradiation radiographics appearances.Materials and methods:This retrospective study of 90 patients with a stage I non-small cell lung carcinoma reports a detailed description of the computed tomography (CT) or positron emission tomography/CT changes that can be observed after treatment, according to modified Kimura score for RP and Koenig’s classification for fibrosis. This evaluation was realised at 1 month and then every 3–4 months, with a median follow-up of 35 months.Results:The most common radiological RP pattern was diffuse consolidation. It appears in a mean time of 4 months and reaches its maximum at 9 months after radiotherapy. Seventy-three per cent of the RP evolved to fibrosis. Most of these findings were encompassed in the 35 Gy isodose.Findings:Radiological parenchymal changes are frequent in the treatment region, which renders the tumour response monitoring by tumour size, particularly by response evaluation criteria in solid tumours, unsuitable.


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