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Radiotherapy for metastatic lesions

Chapter in book
Authors Per Karlsson
Dan Lundstedt
Published in Breast Cancer. Veronesi U., Goldhirsch A., Veronesi P., Gentilini O., Leonardi M. (eds).
Pages 685-693
ISBN 978-3-319-48848-6
Publisher Springer
Publication year 2017
Published at Institute of Clinical Sciences, Department of Oncology
Pages 685-693
Language en
Subject categories Radiology, Cancer and Oncology


Modern imaging and the development of new precise techniques in radiotherapy has changed the possibilities to detect and treat metastatic lesions. Metastatic breast cancer includes a wide range of clinical scenarios, and the use of radiotherapy must be adjusted to the patient need, all the way from symptom control with a single fraction late in life to potentially curative extensive radiotherapy in oligometastatic disease. The role of palliative radiotherapy in various metastatic sites and the evidence behind different fractionation schedules are reviewed. Treatments of metastatic spinal cord compression and radiotherapy in locally recurrent disease are discussed. The possibilities of stereotactic radiotherapy for brain metastases as well as stereotactic body radiotherapy for oligometastatic disease are presented and summarized. The integration of the systemic treatment with the radiotherapy and the importance of listening to the patient need and to put the radiotherapy decision within the context of a multidisciplinary team are emphasized. © Springer International Publishing AG 2017.

Page Manager: Webmaster|Last update: 9/11/2012

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