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How would you design PORT volumes for a patient with NSCLC and positive chest wall margin?

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Radiation Oncology · Duke University Medical Center

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...

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Radiation Oncology · Duke University Medical Center

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...

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Radiation Oncology · Mayo Clinic

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...

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