title: Chest wall pain and rib fracture after stereotactic radiotherapy for peripheral non-small cell lung cancer.
abstract: Stereotactic body radiotherapy is an emerging treatment option for peripheral non-small cell lung cancer in medically inoperable patients. With high dose per fraction radiotherapy, late side effects are of possible concern. In our initial cohort of 42 patients treated with 54 to 60 Gy in three fractions, nine patients have rib fracture. The median dose to rib fracture sites was 46 to 50 Gy, depending on the method of dose calculation. We describe a typical case of poststereotactic radiotherapy rib fracture and present dosimetric analysis of patients with rib fracture.
authors.affiliation: Department of Radiation Oncology, Tom Baker Cancer Centre Alberta, Canada. jonpaulv@cancerboard.ab.ca
authors.forename: Jon-Paul J
authors.initials: JP
authors.lastname: Voroney
authors.forename: Andrew
authors.initials: A
authors.lastname: Hope
authors.forename: Max R
authors.initials: MR
authors.lastname: Dahele
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Purdie
authors.forename: Thomas
authors.initials: T
authors.lastname: Purdy
authors.forename: Kevin N
authors.initials: KN
authors.lastname: Franks
authors.forename: Shannon
authors.initials: S
authors.lastname: Pearson
authors.forename: John B C
authors.initials: JB
authors.lastname: Cho
authors.forename: Alex
authors.initials: A
authors.lastname: Sun
authors.forename: David G
authors.initials: DG
authors.lastname: Payne
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Bissonnette
authors.forename: Andrea
authors.initials: A
authors.lastname: Bezjak
authors.forename: Anthony M
authors.initials: AM
authors.lastname: Brade
mesh_terms: D000369:Aged, 80 and over; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology / Q000601:surgery*; D002637:Chest Pain / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D016634:Radiosurgery / Q000009:adverse effects*; D012253:Rib Fractures / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed