Do you electively cover any nodal volumes for superior sulcus tumors?

No. I grew up with the Fletcher textbook and the Lindberg frequency diagrams in head and neck. The logical extension to lung was assumed. My middle name is Thomas, and I am a doubter. For practical reasons at the dawn of CT treatment planning and dose escalation (pre-VMAT), including supraclavicular...

I cannot give you great data to prove that one needs to treat anything more than the PET-defined target for patients with lung cancer. But I do offer a few thoughts on this matter.

1. By the time one adds a margin around the PET-defined mass, one is often partly covering a nodal basin. And, in these ca...

I agree. Since these tumors are primarily treated with induction ChemoRT followed by resection, the mediastinum is adequately staged by PET and EBUS beforehand. If surgery is not planned/possible, then I do include any suspicious nodes in the region.