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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?

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What is your SCV field when treating a + supraclavicular node in a Stage III NSCLC patient receiving chemoradiation?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · UCF COM
Answered on

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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Mednet Member
Mednet Member
Radiation Oncology · Cancer Care Centers of Brevard
Answered on
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)

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