Highlights • Hyperfractionated RT with augmented dose provides durable enhanced disease control.• Late toxicity is unchanged with higher optimal doses using smaller fraction sizes.• Hyperfractionation improves overall survival but mortality… Click to show full abstract
Highlights • Hyperfractionated RT with augmented dose provides durable enhanced disease control.• Late toxicity is unchanged with higher optimal doses using smaller fraction sizes.• Hyperfractionation improves overall survival but mortality profile evolves over time.• Altered fractionation should avoid unnecessary RT protraction to maximize control.• Excessive acceleration should be avoided to minimize severe normal tissue sequelae.
               
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