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Kaesmann, Lukas; Dietrich, Alexander; Staab-Weijnitz, Claudia A.; Manapov, Farkhad; Behr, Jürgen; Rimner, Andreas; Jeremic, Branislav; Senan, Suresh; De Ruysscher, Dirk; Lauber, Kirsten und Belka, Claus (2020): Radiation-induced lung toxicity - cellular and molecular mechanisms of pathogenesis, management, and literature review. In: Radiation Oncology, Bd. 15, Nr. 1, 214

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Abstract

Lung, breast, and esophageal cancer represent three common malignancies with high incidence and mortality worldwide. The management of these tumors critically relies on radiotherapy as a major part of multi-modality care, and treatment-related toxicities, such as radiation-induced pneumonitis and/or lung fibrosis, are important dose limiting factors with direct impact on patient outcomes and quality of life. In this review, we summarize the current understanding of radiation-induced pneumonitis and pulmonary fibrosis, present predictive factors as well as recent diagnostic and therapeutic advances. Novel candidates for molecularly targeted approaches to prevent and/or treat radiation-induced pneumonitis and pulmonary fibrosis are discussed.

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