For patients with stage I NSCLC initially treated with SBRT, how do you best manage isolated regional nodal failure?
Answer from: Radiation Oncologist at Academic Institution
The 5-year loco-regional failure rate in RTOG 0236 was 38%, underscoring that there is considerable need for identifying a post-SBRT salvage strategy for these patients; there are only anecdotal reports in the literature as to how to best manage these patients. Our historic approach when the failur...
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Answer from: Radiation Oncologist at Academic Institution
There is limited prospective data to guide us on the answer. Our group did write up and get published our experience with this very question a few years ago. The basic take-home message was that in our experience these patients clinically behave like the updated stage they have at progression. We w...
Answer from: Radiation Oncologist at Community Practice
...This is a very important clinical question, especially as more and more patients are having SABR/SBRT to treat their early-stage lung cancer.Invariably, we will see more isolated local/regional recurrences that will require treatment.However, there has been limited data guiding us on how to rescu...
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Radiation Oncologist at Wellspring Oncology
It will be interesting to see the initial staging ...
It will be interesting to see the initial staging ...