title: Stereotactic ablative radiotherapy for pulmonary oligometastases and oligometastatic lung cancer.
abstract: An increasing body of experience suggests that oligometastasis represents a minimal metastatic state with the potential for cure or prolonged survival in selected patients treated with radical local therapy to all identified sites of disease. The main clinical scenarios managed by thoracic oncology specialists are pulmonary oligometastases from primary malignancies of other anatomic sites and primary lung cancer with oligometastases to lung or other organs. Surgery has been a mainstay of treatment in these situations, with remarkably favorable outcomes following pulmonary metastasectomy in well-selected patient cohorts. As with early stage lung cancer in patients who are medically inoperable, stereotactic ablative radiotherapy is emerging as a prominent local treatment option for oligometastatic disease. We review the role and clinical experience of stereotactic ablative radiotherapy for pulmonary oligometastases and oligometastatic lung cancer.
authors.affiliation: *Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA; †Department of Oncology, University of Torino, Italy; and ‡Département de Radiothérapie, Centre Hospitalier Lyon Sud, Pierre Bénite, France.
authors.forename: David Benjamin
authors.initials: DB
authors.lastname: Shultz
authors.forename: Andrea Riccardo
authors.initials: AR
authors.lastname: Filippi
authors.forename: Juliette
authors.initials: J
authors.lastname: Thariat
authors.forename: Francoise
authors.initials: F
authors.lastname: Mornex
authors.forename: Billy W
authors.initials: BW
authors.lastname: Loo
authors.forename: Umberto
authors.initials: U
authors.lastname: Ricardi
mesh_terms: D019583:Dose Fractionation, Radiation; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D009362:Neoplasm Metastasis; D011379:Prognosis; D011829:Radiation Dosage; D016634:Radiosurgery / Q000379:methods*