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NSCLC stage 1 – not operable

NSCLC stage 1 – not operable. Swiss tumor board Bern – 26.3.2009. Dr. Christian Monnerat Département Pluridisciplaire d’Oncologie – Hôpital Neuchâtelois Service de génétique médicale – CHUV - Lausanne. NSCLC stage IIIB (treated in 2004) Summary of the case presented by Dr. Zappa.

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NSCLC stage 1 – not operable

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  1. NSCLCstage 1 – not operable Swiss tumor board Bern – 26.3.2009 Dr. Christian Monnerat Département Pluridisciplaire d’Oncologie – Hôpital Neuchâtelois Service de génétique médicale – CHUV - Lausanne

  2. NSCLC stage IIIB(treated in 2004)Summary of the case presented by Dr. Zappa 79 y. man, severe comorbidities (CAD, COPD (FEVS 1,7 l),diabetes) Heavy smoking history (75 UPA) CT + PET-CT : 2,5 cm opacity on left lower lobe (SUV 8) Bronchoscopy not contributive No infection Bronchoscopy with 3D technology ? Curative RT with IGRT technology IGRT = image guided radiotherapy

  3. NSCLC :PET-CT 20.12.07

  4. NSCLC :Fusion virtual simulation – PET, IGRT

  5. NSCLC :evolution during RT with 30 x 2,5 Gy Équivalent biologique de 90 Gy FUP à 1 an, CR maintenue 25.2.08: start

  6. NSCLC :evolution during RT with 30 x 2,5 Gy 6.3.08 14.3.08 25.2.08: start 28.2.08 29.2.08 4.3.08 3.4.08 18.3.08 20.3.08 26.3.08 28.3.08 1.4.08

  7. NSCLC :PET-CT 20.5.08

  8. NSCLC :Rx 15.9.08

  9. NSCLC :Rx 5.3.09

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