Prophylactic Cranial Irradiation for Resectable Small-Cell Lung Cancer

Aditya Halthore, Anuj Goenka, Rajiv Sharma, Jonathan P.S. Knisely

Research output: Contribution to journalReview articlepeer-review

Abstract

After definitive chemoradiation for small-cell lung cancer (SCLC), prophylactic cranial irradiation (PCI) has been established as standard of care in patients whose tumors respond to treatment. In the modern era, however, a subset of patients might receive upfront resection for SCLC, yet the role of PCI in these patients has not been elucidated. In this review, we examine the literature to better define the role of PCI in this subset of patients. For patients with ≥ T2 disease, incomplete resection, or those not receiving adjuvant chemotherapy, PCI is expected to offer a clinical benefit. For patients with T1 tumors treated with R0 resection, however, the rate of intracranial metastasis might be < 10%. In these patients, deferral of PCI might be appropriate because it would avoid known neurocognitive sequelae of cranial irradiation.

Original languageEnglish (US)
Pages (from-to)115-119
Number of pages5
JournalClinical lung cancer
Volume19
Issue number2
DOIs
StatePublished - Mar 2018
Externally publishedYes

Keywords

  • Brain metastasis
  • Limited stage small-cell lung cancer
  • PCI
  • SCLC
  • Whole brain radiation

ASJC Scopus subject areas

  • Oncology
  • Pulmonary and Respiratory Medicine
  • Cancer Research

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