For esophageal cancers with large gaps between the primary and PET positive lymph nodes, do you treat the gaps with continuous volumes or only involved areas?   

For example, in an upper or mid-esophageal cancer with a PET positive lesser gastric curvature node. Is it reasonable to treat PET positive areas only with the usual expansions, or would you bridge the area between primary and node to cover subclinical lymphatic disease even if the heart and lung doses would be greater and potentially not meet constraints? 



Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at University of Florida
Treat the gap.
Radiation Oncologist at Holy Cross Hosp Biennes Cancer Center
How would you treat a young healthy asymptomatic p...
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