Consolidative versus salvage stereotactic ablative radiotherapy to the primary lung tumor in stage IV non–small cell lung cancer - Takeaways - MDSpire

Consolidative versus salvage stereotactic ablative radiotherapy to the primary lung tumor in stage IV non–small cell lung cancer

  • By

  • Lisi Sun

  • Lulu Wang

  • Lina Yang

  • Wei Zhou

  • Yongzhong Wu

  • Dan Tao

  • July 15, 2026

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  • 1

    This study analyzed 90 patients with stage IV non-small cell lung cancer who received stereotactic ablative radiotherapy to the primary lung tumor.

  • 2

    Patients were divided into two groups: consolidative SABR (n=64) and salvage SABR (n=26), with comparable outcomes in local progression-free survival and overall survival.

  • 3

    Median follow-up was 38.8 months, showing no significant differences in local progression-free survival, distant metastasis-free survival, or overall survival between the two groups.

  • 4

    EGFR/ALK mutations were associated with improved local progression-free survival, distant metastasis-free survival, and overall survival in multivariable analysis.

  • 5

    Grade ≥2 radiation pneumonitis occurred in 12.2% of patients, with no significant difference in incidence between the consolidative and salvage SABR groups.

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