Do you recommend elective nodal irradiation when treating unresectable pancreatic adenocarcinoma?
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.
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · UT Southwestern Medical Center
Answered on
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 -...
Join for free or sign in to see the full answer