Mesothelioma Therapy Radiation Therapy 2

Question 1

Radiation-induced pneumonitis is a major concern in mesothelioma patients. What is its hallmark symptom?

Accepted Answer

New or worsening cough and dyspnea

Answer

Chest pain

Answer

Fever and chills only

Answer

Hemoptysis

Question 2

Which phase of the trimodality treatment approach typically includes adjuvant hemithoracic radiotherapy?

Accepted Answer

After EPP surgery

Answer

Before chemotherapy

Answer

Before surgery

Answer

During HIPEC

Question 3

What total radiation dose is typically used for adjuvant hemithoracic radiotherapy after EPP?

Accepted Answer

45–54 Gy

Answer

10–15 Gy

Answer

20–30 Gy

Answer

70–80 Gy

Question 4

Palliative radiation for mesothelioma chest wall pain is typically given over what time frame?

Accepted Answer

1–2 weeks (short course)

Answer

1–2 days

Answer

4–6 weeks

Answer

8–10 weeks

Question 5

Which radiation complication can occur when significant cardiac dose is received during mesothelioma treatment?

Accepted Answer

Radiation-induced pericarditis or cardiac toxicity

Answer

Radiation hepatitis

Answer

Radiation nephritis

Answer

Radiation myelitis

Question 6

For mesothelioma patients who undergo P/D (lung-sparing surgery), what challenge does this create for adjuvant radiation?

Accepted Answer

The remaining lung limits deliverable dose, increasing pneumonitis risk

Answer

No challenge—radiation is straightforward

Answer

The surgical scar blocks radiation delivery

Answer

Radiation cannot be used after P/D