Table 1.
Site | Patient setting | RT management | RT schedules | COVID + (asymptomatic/mild symptomatic) | COVID + (symptomatic) |
---|---|---|---|---|---|
Lung cancer [72–82] | General |
Increase HFRT Increase SBRT |
Continue RT(CT) with close monitoring of clinical conditions |
Postpone after confirmed healing Interrupt or preliminarily terminate ongoing treatments |
|
NSCLC |
Delay post-operative RT Avoid twice-daily treatments |
||||
NSLC (early stage) |
Increase SBRT |
50–60 Gy in 5 fr (central tumors) 48 Gy in 4 fr (adjacent/contact with chest wall) |
|||
SCLC |
Delay PCI Consider delivering PCI during concurrent RT(CT) |
||||
Hematological cancer [83] | General | Shorten RT course | |||
Palliative | Omission RT treatments | – | |||
Localized low-grade |
Omission RT for completely excised Delay for asymptomatic patients |
Delay RT | |||
Localized nodular LH |
Omission RT for completely excised Delay for asymptomatic patients |
||||
Diffuse large B/aggressive LNH | Omission RT for consolidation | ||||
Head & Neck [72, 84–93] | General | Increase HFRT |
Continue RT(CT) with close monitoring of clinical conditions Use surgical mask with immobilization setup |
||
Prostate |
General |
Increase HFRT Consider starting RT up to 6 months after OT |
|||
Low-risk |
Increase HFRT Increase SBRT |
36.25 Gy in 5 fr twice-week | |||
Gastrointestinal [98, 100–110] | Esophageal cancer | 40 Gy in 15 fr | |||
Inoperalble Cholangiocarcinoma | Consider SBRT | ||||
Pancreatic cancer | Consider SBRT in inoperable LAPC | ||||
Anal cancer | Increase HFRT |
36/40 Gy in 20 fr to elective volume; 50 Gy in 20 fr to primary tumor with SIB |
|||
Liver cancer |
Carbon ION RT for unresectable disease Consider SBRT for Hepato Cellular Carcinomas |
30–60 Gy in 3–5 fr | |||
Rectal cancer | Prefer short course treatments | ||||
Skin [112–116] | General |
Delay or omit adjuvant RT Consider HFRT Consider contact skin RT |
|||
Breast [98, 117–121] | General |
Delay or omit adjuvant RT in older adult EBC Consider HFRT |
|||
Soft tissues – Sarcomas [122] | General | Consider HFRT |
30 Gy in 10 fr 30 Gy in 5 fr 28 Gy in 8 fr 25 Gy in 5 fr |
||
Gynecological [123, 124] | General | Consider HFRT | |||
Uterine cancer | Do not exceed 6 weeks after surgery for adjuvant RT |
RT radiation therapy, HFRT Hypofractionated radiation therapy, SBRT Stereotactic body radiation therapy, NSCLC Non-small cell lung cancer, SCLC Small cell lung cancer, PCI prophylactic cranial irradiation, LH Hodgkin lymphomas, LNH Non-Hodgkin lymphomas, LAPC Locally advanced pancreatic cancer, SIB simultaneous integrated boost, EBC Early breast cancer