How would you approach residual ipsilateral diaphragmatic disease for M1a thymic cancer after induction chemotherapy and otherwise complete resection of primary and pleural disease?

Topics: Radiation Oncology • Thoracic Malignancies

Should one do pleurectomy/decortication?

Answer from: Radiation Oncologist at Academic Institution

I would favor surgical approach to resect it if the patient can tolerate it. RT could be considered but motion management is crucial. The data on second-line chemo is very limited.

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