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Abstract
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Abstract
CASE REPORT: The patient with ECOG
4 performance, vena cava superior
syndrome (VCSS), also positive for Covid
19. Due to the large size of the tumor,
low-dose fractional radiotherapy (RT)
was planned for the primary tumor
area instead of hypofractionated RT.
There was a significant decrease in the
patient's dyspnea 2-3 days after
starting lung RT. An adaptive plan was
made due to more than 30% regression
in mediastinal LAMs and primary tumor
at a dose of 5x170 cGy. Due to a
complete response at 20x170 cGy and
the poor general condition of the
patient, RT was terminated at a dose of
23x170 cGy. Palliative 20x170 cGy RT to
the pancreas and T12 region was
planned for the patient. Only 2x170 cGy
radiation later, there was a significant
decrease in abdominal and back pain,
and his appetite improved.
CONCLUSION: In extensive stage SCLC
with VCSS, low dose radiation can be
using with best palliation.
