Handbook of Supportive and Palliative Radiation Oncology

Monica Krishnan is an attending physician at the Dana-Farber/Brigham and Women’s Cancer Centers at South Shore and Milford. She has developed a palliative radiation clinic at these community cancer centers, working in tandem with the Supportive and Palliative Radiation Oncology (SPRO) program at the main campus in Boston. She has a strong interest in palliative radiation and has done extensive research assessing prognostication and its role in treatment decision making. Margarita Racsa is a radiation oncologist who recently completed a Palliative Medicine Fellowship at Memorial Sloan Kettering in New York. She presently is a Fellow with the Supportive and Palliative Radiation Oncology (SPRO) Service at the Dana-Farber/Brigham and Women’s Cancer Center in Boston. She has a strong interest in Palliative Care Education including working on an initiative to develop a core curriculum in Palliative Care for radiation oncology residency programs. Hsiang-Hsuan Michael Yu is a radiation oncologist at Sinai Hospital in Baltimore, MD. Prior to Sinai, he was the service chief of Central Nervous System Radiation Oncology with a focus in management of brain metastasis at H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL. He is board certified in Radiation Oncology and Hospice and Palliative Medicine. Dr. Yu has gained interest in palliative radiation oncology from clinical practice and is playing an active role to initiate a comprehensive palliative radiation oncology program.

Part I: Issues in Supportive and Palliative Radiation Oncology1. General Approach to Palliative Care and Palliative Radiation Oncology2. Communication3. Prognostication in Patients Receiving Palliative Radiation Therapy4. Palliative Care, Hospice Care, Advance Care Planning, and Advance Directives5. Palliative Care Assessment

Part II: Symptom Management for Palliative Radiation Oncology Practitioners6. Pain Management7. GI Symptoms: Radiation-Induced Adverse Effects8. Management of Dyspnea and Central Airway Obstruction in Patients With Malignancy9. Malignant Bleeding10. Skin Toxicity in Palliative Radiation Therapy

Part III: Disease-Specific Management for Palliative Radiation Oncology Practitioners11. Palliative Radiotherapy for Brain Metastasis12. Palliative Radiotherapy for Malignant Epidural Spinal Cord Compression13. Palliative Radiotherapy for Bone Metastasis14. Site-Specific Symptom Management: Palliative Radiotherapy for Advanced and Metastatic Lung Cancer15. Palliative Radiation Oncology for Gastrointestinal Tract Malignancies16. Palliative Radiotherapy for Advanced and Metastatic Gynecologic and Genitourinary Malignancies17. Palliative Radiotherapy for Advanced and Metastatic Head and Neck Cancers and Skin Metastases