Topics:
Radiation Oncology • Thoracic Malignancies
For gross supraclavicular disease in lung cancer, do you cover full dose to the involved lymph node with margin or to the entire supraclavicular fossa?
Answer from: Radiation Oncologist at Community Practice
Sometimes the supraclav area has smaller nodes, that are difficult to palpate. As such, I treat the entire sc fossa...cost is little and recurrence is very difficult to treat. Dose fall off with a margin on a single palpable node may cause a local failure.
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Answer from: Radiation Oncologist at Community Practice
Nodes+margin.
Brachial plexus constraints would be an issue I'd imagine trying to take the whole region to full dose (if going >60-63)