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La Radioterapia nella malattia oligometastatica

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New oncological approach and innovation in Radiation Oncology

Alba Fiorentino

Chief, Radiation Oncology

General Regional Hospital “F. Miulli”

Acquaviva delle fonti (BA)

Italy

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A R T E

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Background

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Results

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RADIOTERAPIA STEREOTASSICA Hyper Arc

Results

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Local control by BED using a cutoff of 72Gy. One year local control was 90% compared to 57%, in favor of higher biologic dose Local control based on pretreatment SUV. Local control at one year was 92%

compared to 67%, in favor of lesions with less avidity.

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Results

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Metastatic breast cancer

Small molecule inhibitors

Results

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Metastatic breast cancer

Results

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Small molecule inhibitors : CDK 4/6

Results

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Small molecule inhibitors : CDK 4/6

Results

Treatment with palbociclib before and during 5 daily fractions of irradiation exacerbates GI-ARS in mice [7]. Lee C.L.,Int J Radiat Oncol Biol Phys 2018.

We administered conformal radiotherapy of 30 Gy in 10 fractions, over 2 weeks. She experienced grade 1 diarrhoea during treatment with Palbo-RT. Three days after radiotherapy completion, she experienced left abdominal pain, bloating and bloody diarrhoea and was diagnosed with grade 3 colitis (CTCTE v4.0). Colonoscopy revealed erosion and angiectasis of the descending colon (Fig.

1D); therefore, acute radiation-induced enterocolitis was diagnosed.

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Results

Small molecule inhibitors : PARP

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Conclusions

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Riferimenti

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