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...
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...
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...