Table 1.
Patient number | Previous pneumonectomy TNM stage | Initial treatment | New lesion (Ø cm)a | Fractions × Gy | BED Gy 10b | BED Gy 3c | PTV (cm3)d | Local failure | Follow-up |
---|---|---|---|---|---|---|---|---|---|
1 | T2 N0 | P | 1 | 1 × 25 Gy | 87.5 | 233 | 2.3 | 20 months | Dead owing to local progression and distant metastases at 32 months |
2 | T3 N0 | P | 4.5 | 3 × 10 Gy | 60 | 130 | 101.2 | 10 months | Dead owing to local progression at 25 months |
3 | T2 N2, T1 N0 | Lobectomy, completion P | 1.8 | 1 × 25 Gy | 87.5 | 233 | 6.4 | No | Death owing to regional and distant metastases at 32 months |
4 | T3 N0 | P | 3 | 1 × 25 Gy | 87.5 | 233 | 24.4 | no | Dead owing to distant metastases at 27 months |
5 | T2 N1 | P and post-operative RT | 2.2 | 3 × 10 Gy | 60 | 130 | 20.5 | no | Dead owing to intercurrent disease at 10 months |
6 | T2 N0 | P | 1.8 | 1 × 26 Gy | 93 | 251 | 7.8 | 19 months | Dead owing to local progression at 34 months |
7 | T2 N2 | P and post-operative RT | 1.8 | 1 × 25 Gy | 87.5 | 233 | 20.4 | No | Alive without disease at 33 months |
8 | T2 N0 | P | 2.8 | 3 × 15 Gy | 112 | 270 | 24.6 | No | Alive without disease at 31 months |
9 | T2 N0 | P | 2.1 | 4 × 10 Gy | 80 | 173 | 25.1 | No | Alive without disease at 26 months |
10 | T4 N0 | P | 3 | 4 × 10 Gy | 80 | 173 | 20.9 | No | Dead owing to distant metastases at 11 months |
11 | T2 N2 | P and post-operative RT | 3.3 | 4 × 10 Gy | 80 | 173 | 24.1 | No | Alive without disease at 11 months |
12 | T1 N0, T2 N1 | P (synchronous tumour) | 2.1 | 4 × 12 Gy | 105.6 | 240 | 17.2 | No | Alive without disease at 10 months |
P, pneumonectomy; PTV, planning target volume; RT, radiotherapy.
(Ø cm), greatest tumour dimension.
BED Gy 10, biologically effective dose with assumed α/β ratio of 10 for tumour tissue.
BED Gy 3, biologically effective dose with assumed α/β ratio of 3 for normal tissue.
PTV consists of the tumour volume including all respiratory movements plus a 3- to 5-mm safety margin for RT planning.