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Curative radiotherapy

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  • curative radiotherapy is given for patients with tumours that would ordinarily be operable but are in fact inoperable for medical reasons, or are of low bulk but in a difficult site, and in a single radiotherapy field which may safely receive a high dose

  • radiotherapy is more effective for peripheral (coin) lesions than for central tumours

  • protocols are generally based on daily treatments over a period of four to six weeks, although it is possible that this may be altered to continuous hyperfractionated radiotherapy if current trials are successful

  • radical radiotherapy results in a 2-3% 5 year survival rate

  • radiotherapy to the mediastinum and primary tumour site after a good, ideally complete, response to chemotherapy leads to a further increased chance of long-term survival in small-cell lung cancers

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