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      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <Volume-Issue>Volume 4; Issue 3</Volume-Issue>
      <Season>(May-Jun, 2023)</Season>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Unilateral Diaphragmatic Weakness After Stereotactic Radiotherapy of The Lung: A Case Report</ArticleTitle>
          <FirstName>Marije C.A.W.</FirstName>
          <FirstName>John O.</FirstName>
          <FirstName>Jelle R.</FirstName>
      <Abstract>Stereotactic body radiation therapy (SBRT) is the treatment of choice for patients with stage 1 non-small cell lung cancer (NSCLC) who are medically unfit or those refusing surgery. SBRT is a modality which is well tolerated with respect to limitations on surrounding organs and contra-indications. With improving techniques and cancer treatments, patients have a longer life span, but it is known that radiotherapy can cause late-onset complications.&#13;
We are reporting the case of a 77-year-old woman who was treated with SBRT because of stage 1 NSCLC. She received a total dose of 51 Gy in three fractions, prescribed to the 78% isodose line. Eight months after SBRT she developed progressive dyspnea and the CT scan showed an elevated left hemi-diaphragm. Potential causes were ruled out. The SBRT treatment was performed without other complications.&#13;
To our knowledge this complication has not previously been described after SBRT. With constant improving cancer treatments and radio-therapeutic techniques, and better longevity, we could see an increase in long term toxicity in the future.</Abstract>
      <Keywords>Late Toxicity,Adverse Event,Stereotactic Radiotherapy,Lung Cancer</Keywords>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=14644&amp;title=Unilateral Diaphragmatic Weakness After Stereotactic Radiotherapy of The Lung: A Case Report</Abstract>
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