The literature is divided on appropriate fractionation (Blitzer/ 1985; Hoskin, 1988; Tong, Gillick, and Hendrickson, 1982). Protracted regimens of more than lC treatments may be more appropriate for patients with life expectancies of longer than 6 months to reduce potential late radiation effects or acute effects such as nausea if critical structures such as the stomach have to be included in the radiation field. For patients with a more limited life expectancy, radiation can be administered in fewer fractions, depending on the patients clinical status (Lawton and Maher, 1991; Maher, Coia, Duncan, et al., 1992). These later regimens result in effective palliation in over 70 percent of patients at 3-months' followup, with negligible complications when radiation portals are localized (Arcangeli, Micheli, Archangeli, et al., 1989; Bates, Yarnold, Blitzer, et al., 1992; Blitzer, 1985; Tong, Gillick, and Henderson, 1982).
Wide-Field Radiation Therapy
Other Therapeutic Applications
Surgical Management of Pain due to Primary or Metastatic Tumor