By J. Heide, A. Schmittel, D. Kaiser, W. Hinkelbein, J.L. Meyer
Lower than the auspices of the twelfth overseas Symposium on designated elements in Radiotherapy 2008 in Berlin, stated specialists offered their views on small and non-small telephone lung melanoma, reflecting the newest criteria and interesting in controversies within the analysis and therapy of this sickness. within the first a part of this quantity, elements of the diagnostic workup are highlighted from the histopathologist's viewpoint, via displays in regards to the worth of PET-CT and whole-body MRI within the staging of lung melanoma. The use and present equipment in bronchoscopy, endoscopic ultrasound, video-endoscopy and mediastinoscopy are mentioned intimately. the second one part offers surgical and radio-oncological remedy recommendations for level I/II non-small cellphone lung melanoma together with stereotactic radiotherapy. The 3rd part outlines the healing thoughts for degree III NSCLC: prolonged surgical methods, definitive radiochemotherapy and present thoughts in adjuvant remedies. Emphasis is additionally put on altered fractionation schemes in radiotherapy. part four is devoted to palliative techniques and the final part supplies an in-depth presentation of small mobile lung melanoma. This booklet offers a great evaluation of up to date criteria and destiny innovations in lung melanoma remedy. it will likely be of serious worth to surgeons, radiation oncologists, pulmonary experts and different clinicians drawn to this ailment.
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Additional resources for Controversies in the Treatment of Lung Cancer: 12th International Symposium on Special Aspects of Radiotherapy, Berlin, October 2008 (Frontiers of Radiation Therapy and Oncology)
J Clin Oncol 1998;16:2142–2149. 100 Eubank WB, Mankoff DA, Vesselle HJ, et al: Detection of locoregional and distant recurrences in breast cancer patients by using FDG PET. Radiographics 2002;22:5–17. 101 von Haag DW, Follette DM, Roberts PF, Shelton D, Segel LD, Taylor TM: Advantages of positron emission tomography over computed tomography in mediastinal staging of non-small cell lung cancer. J Surg Res 2002;103:160–164. 102 Dwamena BA, Sonnad SS, Angobaldo JO, Wahl RL: Metastases from non-small cell lung cancer: mediastinal staging in the 1990s: meta-analytic comparison of PET and CT.
False-positive findings may occur especially after external radiation therapy (due to radiation pneumonitis). Molecular (Metabolic) Radiation Therapy Planning In patients with lung cancer, radiotherapy is used with curative as well as with palliative intent. For effective radiation therapy, and to increase the therapeutic index, exact staging of disease is essential . The main cause of death after primary radiation therapy of lung cancer is local recurrence, making it necessary to have precise delineation of the extent of tumor and its size.
J Nucl Med 1996;37: 943–948. 171 Vesselle H, Pugsley JM, Vallières E, Wood DE: The impact of fluorodeoxyglucose F 18 positronemission tomography on the surgical staging of non-small cell lung cancer. J Thorac Cardiovasc Surg 2002;124:511–519. Prof. Dr. Richard P. Baum Department of Nuclear Medicine/Center for PET, Zentralklinik Bad Berka Robert-Koch-Allee 9 DE–99437 Bad Berka (Germany) Tel. de FDG-PET/CT in Lung Cancer: An Update 45 Diagnostic Workup Heide J, Schmittel A, Kaiser D, Hinkelbein W (eds): Controversies in the Treatment of Lung Cancer.