Do you treat supraclavicular metastasis with SBRT?
If so what dose-fractionation do you use and what constraints for brachial plexus?
Answer from: Radiation Oncologist at Academic Institution
I'd view this as nodal oligomet occurring in the supraclavicular area. I've treated patients with SC nodal met and I always try to push the dose to 40 Gy in 5 fxs if the brachial plexus (BP) tolerance can be respected. I typically use 30 Gy in 5 fxs as constraint for BP. This is for RT naive patient...
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