How do you manage a peripheral NSCLC and a single positive contralateral lymph node?
Should elective mediastinal irradiation still be avoided? For example, if you have a T2 RLL lesion, and let's say, a positive AP window node, do you not treat the intervening mediastinum?
Answer from: Radiation Oncologist at Academic Institution
In this circumstance, I would first confirm pathologically if possible with mediastinoscopy or EBUS. Right-sided tumors have a tendency to spread to ipsilateral lymph node stations only and spread to the contralateral mediastinum, particularly in the absence of ipstileral involvement, would be unusu...
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