Mednet Logo

Do you crop the mediastinal nodal CTV out of normal lung parenchyma when treating locally advanced NSCLC?

Community PollStarted

Do you crop the mediastinal nodal CTV out of normal lung parenchyma?

129 physicians have voted

Join Mednetto vote and see how they answered.

1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Cleveland Clinic
Answered on

I do routinely crop the mediastinal CTV out of lung parenchyma—while a node may physically expand into the lung tissue (displacing the lung tissue)—there should not be microscopic invasion of the parenchyma. I similarly shave this nodal CTV out of other mediastinal structures such as bone, esophagus...

Join for free or sign in to see the full answer