World's first cancer op(s)... and then XRT given by non rad onc residency trained docs?!

[scarbrtj]

The second part ("non rad onc residency trained docs") is tongue-in-cheek. Given the agita over residency expansion/resident number in the U.S., keep in mind that in some other non-sh*thole countries the radiation oncology resident and program number is already zero. So thinking the U.S. can, or might, get there one day whether by necessity or choice is not 100% crazy or non-Judeo-Christian. But re: the link, it does seem the correct way to approach the case: two operations (using the leading clinical care advancement of the decade, so far) and two disparate adjuvant locoregional therapies as necessary.

Guy’s hospital patient becomes first to have tumours removed from throat and lungs

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[evilbooyaa]

The second part ("non rad onc residency trained docs") is tongue-in-cheek. Given the agita over residency expansion/resident number in the U.S., keep in mind that in some other non-sh*thole countries the radiation oncology resident and program number is already zero. So thinking the U.S. can, or might, get there one day whether by necessity or choice is not 100% crazy or non-Judeo-Christian. But re: the link, it does seem the correct way to approach the case: two operations (using the leading clinical care advancement of the decade, so far) and two disparate adjuvant locoregional therapies as necessary.

Guy’s hospital patient becomes first to have tumours removed from throat and lungs

Based on the link, sounds like a HPV+ Oropharynx (a H&N tumor with a good prognosis) and Stage III Lung NSCLC (lung tumor with a worse prognosis that is requiring post-operative RT for the lung, likely at least pN2 if not cN2 given he got adj. chemo for the lung)

Sounds like patient would've been better served just getting definitive chemoRT to both. I've done it before on a patient who had synchronous diagnoses. Was rough and he needed a G-tube but got through without any tx break.

Just because we CAN do surgery doesn't mean we SHOULD do surgery.

ChemoRT has equivalent outcomes to Surgery + Adj. RT without a risk of needing trimodality therapy in HPV+ OPhx.
Ditto for stage III lung, if not better for ChemoRT now that consolidative Durva is a thing.

 

[scarbrtj]

shoulda said "a correct" way; but they have a robot there and funny thing--robots seems to begat robotic surgeries