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Timmerman R, McGarry R, Yiannoutsos C, et al. Excessive toxicity when treating central tumors in a phase II study of stereotactic body radiation therapy for medically inoperable early-stage lung cancer. J Clin Oncol 2006; 24:4833-4839. This reports on a phase II study in 70 stage I non-small cell lung neoplasm patients who underwent stereotactic radiosurgery with a dose of 60-66 Gy in three fractions. The authors reported a significant increase in toxicity for central lesions with this dose.
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