Do you treat elective nodes in unresectable pancreas when treating with 15fx?

No, the standard has been to include only grossly enlarged node, so for now we do not include elective nodal irradiation. We will re-evaluate this practice when we have more data and are better able to assess the pattern of disease progression. We are treating over 100 cases a year uniformly, so this question should be something we can address in the future.

We do use Xeloda, but do not know if it is necessary.