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How do you manage stage III resectable NSCLC patients treated with neoadjuvant chemoimmunotherapy per CheckMate 816 with residual disease who subsequently refuse surgery?

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Mednet Member
Radiation Oncology · UCLA | VA Greater Los Angeles Healthcare System

(1) Carefully analyze what happened with the patient, their medical oncologist, and thoracic surgeon, (2) restage the patient with an FDG-PET/CT and brain MRI to rule out distant metastatic progression, (3) confirm with their medical oncologist that CRT-> Durva is still an option, (4) confirm that a...

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Mednet Member
Mednet Member
Radiation Oncology · Michigan Healthcare Professionals, PC

The PACIFIC trial was for unresectable patients, yet extrapolated to many resectable patients (one single station N2 node). If a patient is deemed resectable at tumor board, it’s by definition not eligible for PACIFIC. Thus, they may be treated with chemo-immunotherapy and then undergo surgery, rath...

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How do you manage stage III resectable NSCLC patients treated with neoadjuvant chemoimmunotherapy per CheckMate 816 with residual disease who subsequently refuse surgery? | Mednet