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Do you treat pre- or post-chemotherapy nodal volumes on a patient with NSCLC following induction chemotherapy?

Would you treat initially involved contralateral supraclavicular nodes?
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Do you treat pre- or post-chemotherapy nodal volumes on a patient with NSCLC following induction chemotherapy?

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1 Answer
Mednet Member
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Radiation Oncology · Memorial Sloan Kettering Cancer Center
Answered on

After induction chemotherapy, I treat all initially involved nodal stations to a definitive dose. If there is improvement in the parenchymal disease, I consider reducing my volumes to the post-chemo target, though I do so cautiously and often encompass that region with the CTV as well.

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