Not so fast.

No really, maybe don’t treat so fast. This retrospective review of 65 patients receiving lung SBRT at MSKCC for “ultra-central” tumors (i.e., abutting the proximal bronchial tree or esophagus) demonstrates an 11% grade 5 toxicity rate. But to Princess Margaret’s credit, none were related to the esophagus. | Wang, ASTRO 2018