How would you design PORT volumes for a patient with NSCLC and positive chest wall margin?
A positive surgical margin (bronchial, vascular, parenchymal) after a typical lobectomy/pneumonectomy for NSCLC is rare (~1-2%- JTO 2015;10:1625), a bit higher after sublobar resection, and even higher after chest wall resection (14% in our series- Tandberg et al. Clin Lung Cancer 2016). The most ac...
Join for free or sign in to see the full answer
Pathologists will often report a "visceral pleural margin". This is not a true surgical margin (as opposed to the bronchial, vascular, and parenchymal margins), and in the absence of pathological documentation of invasion into the parietal pleural (chest wall), I believe one can simply ignore this a...
Join for free or sign in to see the full answer
Could we rephrase the question? How would we design PORT volumes when there is invasion into the parietal pleura (e.g. chest wall)?
I have received several consultations for patients with the pathology report describing a positive visceral pleural margin. However, when I reviewed the slides with pat...
Join for free or sign in to see the full answer