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Stage III NSCLC post induction chemo-immunotherapy

Faculty:
Dr. Houda Bahig

Workshop Schedule:
TBD

Case Description:
A 66-year-old male was diagnosed with biopsy-confirmed squamous cell carcinoma of the left upper lobe. At initial presentation, the tumor measured 6.5 cm and was staged as T3N2. Endobronchial ultrasound confirmed involvement of mediastinal and hilar lymph nodes, specifically at levels 4L and 11L. Baseline pulmonary function tests showed an FEV₁ of 1.5 L (50% predicted) and a DLCO of 40%, making him a borderline surgical candidate. The patient underwent three cycles of chemoimmunotherapy, achieving an excellent radiologic response. A post-treatment PET/CT demonstrated no FDG-avid lymphadenopathy and a residual PET avid mass in the left upper lobe. Repeat VO₂ max testing following systemic therapy showed mild deterioration of pulmonary function test and VO₂ max testing was <10 ml/kg/min), making him ineligible for surgical resection. The patient is sent for consideration of radiotherapy.

Contouring homework: 
GTV on Slices 47, 52, 55, 60, 64
CTV on Slices 47, 52, 55, 60, 64
PTV on Slices 47, 52, 55, 60, 64

Additional Resource Files:
Vignette
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide (HTML5 version)
- EduCase Metrics Guide (basic)

Uploaded: 07/23/25 07:45 EduCase
Viewed: 27 times
Emailed: 0 times
Total Slices: 175
Dose: No
Category: IASLC World Lung WCLC 2025
Groups : 20250909 WCLC
Image Modalities: CT, PT
DVH: No
Doctor's Name: Dr. Houda Bahig
Disease Site: Lungs
Server locations: US, Frankfurt, Singapore
WCLC - INITIAL_SBRT - Charles B. Simone, MD

Workshop Timeline: IASLC 2024 World Conference on Lung Cancer | San Diego (WCLC 2024) September 7th, 2024

Faculty:
1. MR linac applications in NSCLC - Percy Lee, M.D.
2. When/how to utilize adaptive RT treatment techniques in NSCLC - Pamela Samson, MD, MPHS
3. SBRT boost in locally advanced NSCLC- LU008 contouring guidelines - Charles B. Simone, MD
4. SBRT for oligoprogression - C. Jillian Tsai MD, MS, PhD

Contouring Homework:
None - backup case

Resource Files:
- WCLC_C-Simone Vignette.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide

Uploaded: 08/15/24 03:05 EduCase
Viewed: 26 times
Emailed: 0 times
Total Slices: 232
Dose: No
Category: IASLC WCLC 2024
Groups : 2024 World Lung Conference
Image Modalities: CT, PT
DVH: No
Disease Site: Lungs
Server locations: US, Canada, Frankfurt, Singapore
WCLC - Induction Therapy - Charles B. Simone, MD

Workshop Timeline: IASLC 2024 World Conference on Lung Cancer | San Diego (WCLC 2024) September 7th, 2024

Faculty:
1. MR linac applications in NSCLC - Percy Lee, M.D.
2. When/how to utilize adaptive RT treatment techniques in NSCLC - Pamela Samson, MD, MPHS
3. SBRT boost in locally advanced NSCLC- LU008 contouring guidelines - Charles B. Simone, MD
4. SBRT for oligoprogression - C. Jillian Tsai MD, MS, PhD

Contouring Homework:
GTVn on Slices 52, 61, 69
GTVp on Slices 81
PTV_Combined on Slices 52, 61, 69, 81
GreatVes on Slices 52, 61, 69, 81
BrachialPlex_L on Slices 42

Resource Files:
- WCLC_C-Simone Vignette.pdf
- EduCase Training Video: How to contour, complete the homework, and save/submit
- EduCase User Guide


Uploaded: 08/15/24 03:05 EduCase
Viewed: 55 times
Emailed: 0 times
Total Slices: 158
Dose: No
Category: IASLC WCLC 2024
Groups : 2024 World Lung Conference
Image Modalities: CT, PT
DVH: No
Disease Site: Lungs
Server locations: US, Canada, Frankfurt, Singapore