Do you do recommend further mediastinal staging for patients with SCLC or inoperable NSCLC with N1 disease on PET?

Topics: Radiation Oncology • Thoracic Malignancies • Non-small cell lung cancer • Small cell lung cancer • Pulmonology

If a patient clearly has N1 disease with high SUV on PET, do you routinely recommend EBUS or mediastinoscopy to evaluate for N2 disease?

Answer from: Radiation Oncologist at Academic Institution

I would usually request an EBUS. PET is really outstanding for staging of all lung cancer, but sensitivities in the 90+%, but it will occasionally miss the small nodes of the mediastinum. In SCLC, with a N1 node "with high SUV" the pretest probability of having an N2 node is quite high, so it would ...

Comments

Radiation Oncologist at UCF COM
Very good answer, but please elaborate on your tar...

Radiation Oncologist at Jacob E Locke MD PA
That study was unclear on the extent of staging pe...

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