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Panje, C; Andratschke, N; Brunner, TB; Niyazi, M; Guckenberger, M.
Stereotactic body radiotherapy for renal cell cancer and pancreatic cancer : Literature review and practice recommendations of the DEGRO Working Group on Stereotactic Radiotherapy.
Strahlenther Onkol. 2016; 192(12):875-885 Doi: 10.1007/s00066-016-1053-1
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Co-authors Med Uni Graz
Brunner Thomas Baptist
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Abstract:
PURPOSE: This report of the Working Group on Stereotactic Radiotherapy of the German Society of Radiation Oncology (DEGRO) aims to provide a literature review and practice recommendations for stereotactic body radiotherapy (SBRT) of primary renal cell cancer and primary pancreatic cancer. METHODS: A literature search on SBRT for both renal cancer and pancreatic cancer was performed with focus on prospective trials and technical aspects for clinical implementation. RESULTS: Data on renal and pancreatic SBRT are limited, but show promising rates of local control for both treatment sites. For pancreatic cancer, fractionated SBRT should be preferred to single-dose treatment to reduce the risk of gastrointestinal toxicity. Motion-compensation strategies and image guidance are paramount for safe SBRT delivery in both tumor entities. CONCLUSION: SBRT for renal cancer and pancreatic cancer have been successfully evaluated in phase I and phase II trials. Pancreatic SBRT should be practiced carefully and only within prospective protocols due to the risk of severe gastrointestinal toxicity. SBRT for primary renal cell cancer appears a viable option for medically inoperable patients but future research needs to better define patient selection criteria and the detailed practice of SBRT.
Find related publications in this database (using NLM MeSH Indexing)
Carcinoma, Renal Cell - radiotherapy
Evidence-Based Medicine - administration & dosage
Gastrointestinal Diseases - etiology, prevention & control
Germany - administration & dosage
Humans - administration & dosage
Kidney Neoplasms - radiotherapy
Pancreatic Neoplasms - radiotherapy
Practice Guidelines as Topic - administration & dosage
Radiation Injuries - etiology, prevention & control
Radiation Oncology - standards
Radiosurgery - adverse effects, standards
Radiotherapy Dosage - administration & dosage
Treatment Outcome - administration & dosage

Find related publications in this database (Keywords)
Stereotactic body radiotherapy
Pancreatic cancer
Renal cell cancer
Pancreatic SBRT
Renal SBRT
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