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Carcinoma no microcítico de Pulmón estadio I Mauricio Murcia Mejía R4.Oncología Radioterápica Hospital General de Catalunya - Instituto Oncologico del Vallès

Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

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Page 1: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

Carcinoma no microcítico de Pulmón estadio I

Mauricio Murcia MejíaR4.Oncología Radioterápica

Hospital General de Catalunya - Instituto Oncologico del Vallès

Page 2: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

CPNCP Estadio I

NCCN. Practice Guidelines in Oncology – v.2.2010

Page 3: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

CPNCP Estadio I

Page 4: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

Cirugia – Gold Standard

Page 5: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 6: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 7: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 8: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

OS 5 y

T1= 74 %

T2= 61%

Page 9: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 10: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

Radioterapia

Page 11: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 12: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 13: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 14: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 15: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

12,5%

Page 16: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 17: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 18: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

SBRT

Page 19: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

SBRT

Page 20: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 21: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

83% 72%

Page 22: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 23: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 24: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 25: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 26: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 27: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 28: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

0813 phase I/II

Page 29: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable
Page 30: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

Conclusiones

Cirugía 1ª elección

RT medicamente no operables o rechazo de cirugía

SBRT resultado comparables a cirugía,pero no tto estándar

Page 31: Carcinoma no microcítico de Pulmón estadio I• Conformal radiation therapy ± chemotherapy should be offered to patients with stage l, Il, and Ill NSCLC who are medically inoperable

GRACIAS ¡¡¡¡


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