TY - JOUR T1 - Prophylactic cranial irradiation: 5 years on JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care SP - 84 LP - 86 DO - 10.1136/bmjspcare-2012-000356 VL - 4 IS - 1 AU - Stephen A Ryan AU - Aoife C Lowney AU - Marie Murphy AU - Paul J Kelly AU - Derek G Power Y1 - 2014/03/01 UR - http://spcare.bmj.com/content/4/1/84.abstract N2 - With advances in cancer management, patients are living with the long-term sequelae of both cancer and its treatment. This era of cancer survivorship poses unique challenges to the interdisciplinary cancer team in terms of management and prevention of treatment-related toxicities. This paper describes the case of a 55-year-old patient with neurocognitive disturbance as a result of prophylactic cranial irradiation (PCI). Five years after a diagnosis of small cell lung cancer, she is now an inpatient at a specialist palliative care unit. The current evidence for PCI and for potentially modifiable risk factors for neurocognitive disturbance as a consequence of PCI is explored. ER -