Thoracic Radiotherapy for Mediastinal Nodal Recurrence

Kagohashi, Katsunori; Nakayama, Hidetsugu; Kagei, Kenji; Kurishima, Koichi; Ishikawa, Hiroichi; Satoh, Hiroaki

doi:10.14712/18059694.2016.103

Acta Medica > Archive > 2009, Vol. 52 > Issue 1 > Thoracic Radiotherapy for Mediastinal…

Acta Med. 2009, 52: 23-25

https://doi.org/10.14712/18059694.2016.103

Thoracic Radiotherapy for Mediastinal Nodal Recurrence

Katsunori Kagohashi^a, Hidetsugu Nakayama^b, Kenji Kagei^b, Koichi Kurishima^a, Hiroichi Ishikawa^a, Hiroaki Satoh^a

^aUniversity of Tsukuba, Institute of Clinical Medicine, Division of Respiratory Medicine, Tsubaka-city, Ibaraki, 305–8575, Japan
^bUniversity of Tsukuba, Institute of Clinical Medicine, Department of Radiation Oncology, Tsubaka-city, Ibaraki, 305–8575, Japan

Received March 1, 2008
Accepted January 1, 2009

Radiotherapy has been used to treat loco-regional recurrences located at various intra-thoracic sites, but longterm survival of these patients has been rarely observed. We report herein a lung adenocarcinoma patient with locoregional recurrence, who was successfully treated with high-dose radiotherapy. The patient could survive with no evidence of recurrence 5 years after thoracic irradiation. It is probably safe to administrate high-dose radiotherapy for some loco-regional recurrent patients with favorable prognostic factors such as good PS, no body weight loss. Further studies will be required to define a favorable subset of patients most likely to benefit from an aggressive approach.