Confronting Complexity: Stereotactic Body Radiation Therapy for Localized Lung Cancer with a Pacemaker.

IF 0.7 Q4 ONCOLOGY Case Reports in Oncology Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.1159/000540262

Malak Chahid, Hanae El Gouach, Mohamed Reda Cherkaoui Jaouad, Meriem Damou, Mohammed Sqalli Houssaini, Fadila Kouhen

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Abstract

Introduction: Lung cancer management in patients with pacemakers presents unique challenges. This report examines the utilization of stereotactic body radiation therapy (SBRT) in such a patient population.

Case presentation: A 75-year-old former smoker with a dual-chamber pacemaker presented with inoperable lung adenocarcinoma. SBRT (48 Gy in 4 fractions) was chosen following multidisciplinary consultation and thorough pretreatment evaluation by a rhythmologist to assess pacemaker integrity. Continuous cardiac monitoring during SBRT detected no arrhythmias. Adjuvant therapy consisted of radiotherapy alone due to the patient's health status and limited evidence supporting chemotherapy in this context. At the 18-month follow-up, no cancer recurrence was observed, and regular device checks confirmed pacemaker integrity.

Conclusion: This case demonstrates the successful management of inoperable lung adenocarcinoma with SBRT in a patient with a pacemaker. It underscores the significance of interdisciplinary cooperation and careful patient assessment to optimize treatment outcomes in this challenging clinical scenario.

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面对复杂性：带起搏器的局部肺癌立体定向体放射治疗。

介绍：带起搏器患者的肺癌治疗面临独特的挑战。本报告探讨了立体定向体放射治疗（SBRT）在此类患者中的应用：病例介绍：一名 75 岁的前吸烟者因患有无法手术的肺腺癌而安装了双腔起搏器。经过多学科会诊，并由一名心律学家对其进行了全面的预处理评估，以评估起搏器的完整性，最终选择了 SBRT（48 Gy，4 次分次放疗）。SBRT 期间的连续心脏监测未发现心律失常。考虑到患者的健康状况以及支持化疗的证据有限，辅助治疗包括单纯放疗。在18个月的随访中，未发现癌症复发，定期的装置检查也证实了起搏器的完整性：本病例展示了使用 SBRT 治疗无法手术的肺腺癌的成功案例。它强调了在这种具有挑战性的临床情况下，跨学科合作和仔细评估患者以优化治疗效果的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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