How do you contour distal esophageal cancer in the postop setting after Ivor-Lewis pT3N3 (perigastric and periesophageal LN)?  

What regional lymph nodes do you include perigastric, portahepatic, periesophageal, celiac, splenic, pancreaticoduodenal, sup. mesenteric, paraesophageal?

Do you treat the anastomosis in a different volume or combine the regional lymph nodes, preop GTV and anastomosis into one big volume?

Answer from: Radiation Oncologist at Academic Institution