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Case Reports
. 2012 Jan;85(1009):77-80.
doi: 10.1259/bjr/64570729. Epub 2011 Sep 21.

Synchronous bilateral squamous cell carcinoma of the lung successfully treated using intensity-modulated radiotherapy

S W Loo  1 , S Smith, D A Promnitz, F Van Tornout
Affiliations
Case Reports

Synchronous bilateral squamous cell carcinoma of the lung successfully treated using intensity-modulated radiotherapy

S W Loo et al. Br J Radiol. 2012 Jan.

Abstract

We present a case of synchronous bilateral inoperable lung cancer which required treatment with external beam radiotherapy to a radical dose. Intensity-modulated radiotherapy (IMRT) was used. More conformal dose distribution within the planning target volume was obtained using IMRT than the conventional technique. Dose-volume constraints defined for the lungs were met. Treatment was subsequently delivered using a seven-field IMRT plan. The patient remains alive and disease-free 48 months after the completion of radiotherapy. IMRT can be considered an effective treatment for synchronous bilateral lung cancer.

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Figures

Figure 1
Figure 1
Beam arrangements for the conventional three-dimensional conformal plan.
Figure 2
Figure 2
Beam arrangements for the seven-field intensity-modulated radiotherapy plan.
Figure 3
Figure 3
Dose–volume histograms for both the conventional three-dimensional conformal (triangles) and intensity-modulated radiotherapy (squares) plans showing planning target volume (red), combined lungs (purple) and spinal cord (blue).
See this image and copyright information in PMC

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