How do you approach treatment for isolated lung recurrences in patients that did not tolerate chemotherapy after lobectomy?

Topics: Radiation Oncology • Thoracic Malignancies

Would a large number of peribronchial nodes but negative nodes at the hilum and mediastinum (LN stations 7-10) affect decision making or volumes? What dose is appropriate? Does involvement of the chest wall and ribs affect your decisions about treatment?Is IMRT appropriate to limit lung/liver dose if it is along the chest wall?

Answer from: Radiation Oncologist at Academic Institution

For non-small cell lung cancer recurrences after lobectomy I approach them the same way as a newly diagnosed NSCLC. If the lymph nodes are negative and the recurrence is small and away from the hilum and central structures, I would recommend SBRT, 50 Gy in 5 fractions. If the lymph nodes are negati...

Comments

Radiation Oncologist at Mountain Radiation Oncology
What would you estimate the probability of occult ...

Related Questions