Do you recommend elective nodal irradiation when treating unresectable pancreatic adenocarcinoma?

Topics: Radiation Oncology • Gastrointestinal Cancers

ASTRO 2019 guidelines conditionally recommends elective nodal RT in unresectable pancreatic cancer. However, NCCN states that ELNI is controversial in locally advanced and borderline resectable patients.

Answer from: Radiation Oncologist at Academic Institution

Yes. For consolidative radiotherapy following chemotherapy, we have been treating the majority of our patients with SBRT. Off trial, we treat the GTV and tumor vessel interface to 40 Gy/5 fractions via simultaneous integrated boost. The elective nodal volume (pancreatic, porta hepatis, para-aortic -...

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Radiation Oncologist at Geisinger
This is an unresectable disease which, by definiti...

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