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How would you manage de novo oligometastatic NSCLC with an isolated low cervical node metastasis?

If there is partial response after chemoimmunotherapy in the primary, would you consolidate the primary? If there is complete response in the metastatic node, would you still consider treating the nodal region?
2 Answers
Mednet Member
Mednet Member
Radiation Oncology · David Geffen School of Medicine at UCLA
Answered on

I view the presence of an isolated low cervical node as somewhere in between an advanced stage III (since supraclavicular/scalene is N3), and oligometastatic stage IV. In either case, assuming the patient received several cycles of induction systemic therapy without progression, I do believe there i...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · UNC School of Medicine
Answered on · Updated on

I broadly agree with Dr. @Dr. First Last's comment. I think that the SC area is one of the more-challenging places for us to rely heavily on imaging, since:

  • It is challenging to see the tumor and nerves both the time of planning and during IGRT;
  • PET images are often not done in the tx position, so i...

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