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  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 4; Issue 3</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(May-Jun, 2023)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Unilateral Diaphragmatic Weakness After Stereotactic Radiotherapy of The Lung: A Case Report</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>7</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Marije C.A.W.</FirstName>
          <LastName>Notenboom</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>John O.</FirstName>
          <LastName>Praag</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Jelle R.</FirstName>
          <LastName>Miedema</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <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;
&#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;
&#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>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Late Toxicity,Adverse Event,Stereotactic Radiotherapy,Lung Cancer</Keywords>
      <URLs>
        <Abstract>https://www.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>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
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      </References>
    </Journal>
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