CRDAMC Homepage | CRDAMC Library Phone #: (254) 288-8366 | CRDAMC Library Fax #: (254) 288-8368

Search Health Library

Radiation Therapy for Lung Cancer

Radiation therapy uses high energy x-rays to destroy cancer cells. Special tools and dosing will help to kill as much of the cancer as possible while minimizing the effect on nearby healthy tissue. A radiation oncologist will customize the treatment dose for individual needs.

For lung cancer, radiation therapy may be used in combination with chemotherapy (called chemoradiation). The combination of chemotherapy and radiation is often more effective in shrinking lung tumors and extending life than either treatment alone. The timing of treatment will depend on the stage of the tumor.

Radiation therapy may also be given:

  • Before surgery to shrink the tumor and minimize the amount of tissue that has to be removed
  • After surgery to kill any remaining cancerous tissue
  • For metastatic cancer to relieve symptoms and extend survival time
  • To the brain to help lower the chances of recurrent small cell brain tumor

External Beam Radiation

There are many different radiation machines used for external radiation therapy based on the size and location of the tumor, surrounding tissue, and type of cancer. The radiation oncologist will discuss options, doses, and frequency of radiation so that the highest amount of radiation can be delivered to the cancer with as little impact on healthy tissue as possible. External beam radiation is often given daily over the course of several weeks.

Radiation of a Tumor

Copyright © Nucleus Medical Media, Inc.

Delivery methods help to deliver the maximum amount of radiation possible to the tumor while minimizing exposure to healthy surrounding tissue. Methods to improve delivery include:

  • 3D conformal radiation therapy (3D-CRT)—Imaging tests are used to map the lungs. Once the tumor is located, radiation beams are directed at it from different angles.
  • Intensity modulated radiation therapy (IMRT)—A computerized machine rotates around the patient to deliver radiation to the tumor site. Dosage can be weakened or strengthened depending on the target tissue. Another type of IMRT that can be used is called volumetric modulated arc therapy (VMAT).
  • Stereotactic body radiation therapy (SBRT)—Mainly used for early stage lung cancer. It may be used when surgery cannot be done or the patient chooses not to have it.
  • Stereotactic radiosurgery (SRS)—Stereotactic radiosurgery is a type of external radiation therapy that can deliver radiation in a very precise location. This allows delivery of higher doses of radiation because it can precisely deliver it to the tumor and not healthy tissue. The precise delivery may also require fewer doses than traditional radiation therapy. It is used in patients who have one tumor that has spread to the brain. In some cases, it may be used at the same time as surgery.

Brachytherapy

This is also called internal radiation therapy. Radioactive material in a specialized container is placed near the tumor. This allows a higher dose of radiation to be delivered directly to the tumor. It is generally used to treat tumors that are obstructing the airway. The material is placed during a bronchoscopy, a procedure that threads a lighted tube into the nose or mouth and down the trachea to the tumor site.

Radioactive Drugs    TOP

Drugs containing radioactive particles may be useful in treating some widespread carcinoid tumors.

Side Effects and Management    TOP

Complications of radiation therapy to the chest and abdominal areas may include:

  • Sore throat
  • Shortness of breath or other breathing problems
  • Pain or difficulty during swallowing, which may make it hard to eat
  • Cough
  • Nausea and vomiting
  • Loss of appetite and weight loss
  • Hair loss where the radiation enters the body

A variety of treatments are available to help manage side effects of radiation therapy, such as dry, irritated skin, nausea, vomiting, and fatigue due to anemia. Sometimes adjustments to treatment doses may also be possible. The earlier side effects are addressed, the more likely they will be controlled with a minimum of discomfort.

References:

Management of unresectable nonmetastatic non-small cell lung cancer. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T906058. Updated June 30, 2017. Accessed August 30, 2017.
Non-small cell lung cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/lung/patient/non-small-cell-lung-treatment-pdq. Updated April 13, 2017. Accessed August 30, 2017.
Radiation therapy. American Lung Association website. Available at:
...(Click grey area to select URL)
Updated November 3, 2016. Accessed September 19, 2017.
Radiation therapy for non-small cell lung cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/non-small-cell-lung-cancer/treating/radiation-therapy.html. Updated May 16, 2016. Accessed August 30, 2017.
Radiation therapy for small cell lung cancer. American Cancer Society website. Available at: https://www.cancer.org/cancer/small-cell-lung-cancer/treating/radiation-therapy.html. Updated May 16, 2016. Accessed August 30, 2017.
Small cell lung cancer. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated June 23, 2017. Accessed August 30, 2017.
Small cell lung cancer. National Cancer Institute website. Available at: https://www.cancer.gov/types/lung/hp/small-cell-lung-treatment-pdq. Updated January 20, 2017. Accessed August 30, 2017.
Last reviewed August 2017 by EBSCO Medical Review Board Michael Woods, MD, FAAP
Last Updated: 8/30/2017

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Health Library: Editorial Policy | Privacy Policy | Terms and Conditions | Support
36000 Darnall Loop Fort Hood, Texas 76544-4752 | Phone: (254) 288-8000