How do you approach a peripheral, T1 lung cancer with a positive mediastinal node by EBUS?

I agree with @Dr. First Last's thoughtful response above. Though the idea of SBRT to a small primary is appealing, the clear standard of care here would be to deliver concurrent chemoradiation using standard fractionation (i.e. 60Gy) using standard margins and standard approach to nodal irradiation ...

Conceptually SBRT for a peripheral T1-2 primary tumor in the setting of N2 disease is attractive, as SBRT is simply another means to deliver tumoricidal radiation and SBRT can reduce the volume of lung exposed to high-dose radiation. It is not approach I have used since (for practical reasons) insur...