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For a GE junction tumor with a lymph node distant from the primary site, would the treatment volume be contiguous?
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Radiation Oncology · Rutgers Robert Wood Johnson Medical School
In general, a LN metastasis more cephalad to the primary GEJ tumor should be included as one contiguous volume with the primary tumor CTV. The rationale for this approach is that the lymphatic system of the esophagus is directly within the wall of the esophagus, so a LN metastases can skip up the es...