Offering practical, comprehensive coverage of the many nuanced technical and clinical aspects of this growing field, Palliative Radiation Oncology provides up-to-date clinical guidance in a thorough yet concise manner. In an easy-access format, it integrates basic science, pathologies, and research with clinical applications, covering different ways to approach problems, tumor assessment, precise target definition, and dosing-specific guidelines to minimize side effects/toxicities while balancing with desired outcomes.
Discusses optimal communication skills for pediatric, adult, and elderly patients.
Contains decision-making algorithms to guide individualized palliative radiation oncology treatment plans.
Reviews all the latest modalities with technical tips and pitfalls.
Covers key procedures such as external beam radiation therapy, intensity modulated radiation therapy, stereotactic body radiation therapy, and stereotactic radiosurgery.
Features step-by-step body site-specific guidelines with integrated symptom and toxicity management.
Covers symptom and symptom-cluster management, including pain and psychosocial or spiritual distress.
Ideal for radiation oncology residents, fellows, and practitioners, as well as medical oncologists, surgical oncologists, oncology nurses, and radiation technicians—all clinicians who work in this highly collaborative, team-based specialty.
1. 2. Introduction to prognostication - p. 10 2. 3. Basic communication frameworks - p. 20 3. 4. Troubleshooting difficult conversation - p. 32 4. 5. Models of multidisciplinary management - p. 38 5. Section II. Techniques and Modalities - p. 44 6. 6. Palliative radiation - p. 44 7. 7. Selecting modalities - p. 54 8. 8. Treatment planning in palliative radiotherapy - p. 64 9. 9. Alternate modalities for palliation - p. 74 10. Introduction - p. 74 11. Types of cancer pain - p. 75 12. Etiology of cancer pain - p. 75 13. When to consider alternative modalities of palliation - p. 75 14. General considerations when considering interventions in cancer populations - p. 76 15. Types of interventional pain specialists - p. 76 16. Commonly used interventional procedures - p. 76 17. Conclusion - p. 90 18. References - p. 98 19. 10. Combining radiation and systemic therapy - p. 98 20. Introduction - p. 98 21. Principles of combining radiation and systemic therapy - p. 98 22. Combining radiation with cytotoxic chemotherapy - p. 99 23. Combining radiation with targeted therapies - p. 107 24. Concluding remarks - p. 126 25. References - p. 126 26. 11. Considerations involving reirradiation - p. 126 27. Section III. Foundations and Principles of Palliative Radiation by Body Site or Special Population - p. 140 28. 12. Palliative radiotherapy in the head and neck - p. 140 29. 13. Palliative thoracic radiation - p. 154 30. 14. Palliative radiotherapy in the breast and chest wall - p. 162 31. 15. Palliative radiotherapy for gastrointestinal malignancies - p. 172 32. 16. Palliative radiotherapy for gynecologic malignancies - p. 178 33. 17. Palliative radiotherapy in pediatrics - p. 192 34. 18. Radiotherapeutic palliation of lymphoma - p. 208 35. 19. Radiotherapeutic palliation of bone marrow diseases—leukemia and multiple myeloma - p. 216 36. 20. Palliative radiotherapy in bones - p. 222 37. 21. Palliative radiotherapy in the brain - p. 230 38. 22. Palliative radiotherapy in the spine - p. 248 39. 23. Palliative radiotherapy in oligometastases - p. 262 40. 24. Palliative radiotherapy in the older adult - p. 274 41. Section IV. Management of Symptoms and Treatment-Related Toxicities - p. 288 42. 25. General symptom overview: Importance of side effect management, CINV, anorexia, and cachexia - p. 288 43. 26. Management of pain - p. 298 44. 27. Management of fatigue - p. 310 45. 28. Management of skin toxicity - p. 322 46. 29. Central nervous system: Symptoms and toxicities - p. 334 47. 30. Management of symptoms and treatment-related toxicities of head and neck cancers - p. 340 48. 31. Chest and thorax: Symptoms and toxicities - p. 358 49. 32. Abdomen and pelvis: Symptoms and toxicities - p. 366 50. 33. Late toxicities management - p. 378 51. 34. Psychosocial and spiritual distress - p. 392 52. Index - p. 407
Offering practical, comprehensive coverage of the many nuanced technical and clinical aspects of this growing field, Palliative Radiation Oncology provides up-to-date clinical guidance in a thorough yet concise manner. In an easy-access format, it integrates basic science, pathologies, and research with clinical applications, covering different ways to approach problems, tumor assessment, precise target definition, and dosing-specific guidelines to minimize side effects/toxicities while balancing with desired outcomes.
Discusses optimal communication skills for pediatric, adult, and elderly patients.
Contains decision-making algorithms to guide individualized palliative radiation oncology treatment plans.
Reviews all the latest modalities with technical tips and pitfalls.
Covers key procedures such as external beam radiation therapy, intensity modulated radiation therapy, stereotactic body radiation therapy, and stereotactic radiosurgery.
Features step-by-step body site-specific guidelines with integrated symptom and toxicity management.
Covers symptom and symptom-cluster management, including pain and psychosocial or spiritual distress.
Ideal for radiation oncology residents, fellows, and practitioners, as well as medical oncologists, surgical oncologists, oncology nurses, and radiation technicians—all clinicians who work in this highly collaborative, team-based specialty.
1. 2. Introduction to prognostication - p. 10 2. 3. Basic communication frameworks - p. 20 3. 4. Troubleshooting difficult conversation - p. 32 4. 5. Models of multidisciplinary management - p. 38 5. Section II. Techniques and Modalities - p. 44 6. 6. Palliative radiation - p. 44 7. 7. Selecting modalities - p. 54 8. 8. Treatment planning in palliative radiotherapy - p. 64 9. 9. Alternate modalities for palliation - p. 74 10. Introduction - p. 74 11. Types of cancer pain - p. 75 12. Etiology of cancer pain - p. 75 13. When to consider alternative modalities of palliation - p. 75 14. General considerations when considering interventions in cancer populations - p. 76 15. Types of interventional pain specialists - p. 76 16. Commonly used interventional procedures - p. 76 17. Conclusion - p. 90 18. References - p. 98 19. 10. Combining radiation and systemic therapy - p. 98 20. Introduction - p. 98 21. Principles of combining radiation and systemic therapy - p. 98 22. Combining radiation with cytotoxic chemotherapy - p. 99 23. Combining radiation with targeted therapies - p. 107 24. Concluding remarks - p. 126 25. References - p. 126 26. 11. Considerations involving reirradiation - p. 126 27. Section III. Foundations and Principles of Palliative Radiation by Body Site or Special Population - p. 140 28. 12. Palliative radiotherapy in the head and neck - p. 140 29. 13. Palliative thoracic radiation - p. 154 30. 14. Palliative radiotherapy in the breast and chest wall - p. 162 31. 15. Palliative radiotherapy for gastrointestinal malignancies - p. 172 32. 16. Palliative radiotherapy for gynecologic malignancies - p. 178 33. 17. Palliative radiotherapy in pediatrics - p. 192 34. 18. Radiotherapeutic palliation of lymphoma - p. 208 35. 19. Radiotherapeutic palliation of bone marrow diseases—leukemia and multiple myeloma - p. 216 36. 20. Palliative radiotherapy in bones - p. 222 37. 21. Palliative radiotherapy in the brain - p. 230 38. 22. Palliative radiotherapy in the spine - p. 248 39. 23. Palliative radiotherapy in oligometastases - p. 262 40. 24. Palliative radiotherapy in the older adult - p. 274 41. Section IV. Management of Symptoms and Treatment-Related Toxicities - p. 288 42. 25. General symptom overview: Importance of side effect management, CINV, anorexia, and cachexia - p. 288 43. 26. Management of pain - p. 298 44. 27. Management of fatigue - p. 310 45. 28. Management of skin toxicity - p. 322 46. 29. Central nervous system: Symptoms and toxicities - p. 334 47. 30. Management of symptoms and treatment-related toxicities of head and neck cancers - p. 340 48. 31. Chest and thorax: Symptoms and toxicities - p. 358 49. 32. Abdomen and pelvis: Symptoms and toxicities - p. 366 50. 33. Late toxicities management - p. 378 51. 34. Psychosocial and spiritual distress - p. 392 52. Index - p. 407
