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

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Mednet Member
Mednet Member
Radiation Oncology · David Geffen School of Medicine at UCLA

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
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Radiation Oncology · UNC School of Medicine

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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