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?
2 Answers
Mednet Member
Radiation Oncology · UCF COM
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.