Palliative RT in a patient with sclerodermia

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patient, known to have sclerodermia, metastatic NSCLC referred to you for palliative RT(WBRT)

  • No RT ; sclerodermia is an absolute CI to RT

    Votes: 0 0.0%

  • Do palliative WBRT with modified doses: 30Gy/15 fr instead of 30Gy/10 fr

    Votes: 4 100.0%
  • Total voters
    4
Kroll2013

Kroll2013

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Palliative RT in a patient with sclerodermia
metastatic NSCLC with secondary brain lesions
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How many lesions? I'd be very tempted to go with SRS to avoid scalp/skin SEs, even if more than 3-4 lesions.
 
I agree with OTN. Or have we found the rare case where "scalp sparing" whole brain could possibly be indicated? I'm joking. Sort of.
 
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