How does LVI affect PMRT decision in a node positive patient?
Should LVI be considered present in a patient with positive nodes? MSKCC showed that LVI is a risk for LRR with 1-3 positive nodes without PMRT
https://www.ncbi.nlm.nih.gov/pubmed/29564588
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
I consider LVI a risk factor for node positive patients and do use as part of my consideration for PMRT.
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Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
Yes based on multiple retrospective series including above, ECOG and others in 1-3 positive node we do take LVI into account along with age, ECE, tumor size and grade of disease in deciding PMRT
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