Topics:
Radiation Oncology • Thoracic Malignancies
How would you treat a stage III lung cancer with N2 disease and a small synchronous contralateral lung primary?
If there was a stage III adeno lung cancer and a contralateral SCC lung primary, what would be the best way to treat? What about a contralateral NSCLC primary? How would you sequence these treatments? Would you deliver SBRT while chemotherapy is being given?
Answer from: Radiation Oncologist at Community Practice
Given that the patient has synchronous primary NSCLC's, I would treat each definitively. There is minimal data regarding this exact scenario but a couple of options are possible. One could include the contralateral lesion in the RT fields when treating with chemo/RT and durva. Alternatively, one cou...
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Answer from: Radiation Oncologist at Academic Institution
There are a lot of scenarios and acceptable approaches here. Also, I think the question is confusing because I'm not sure if "SCC" means small cell in this question or squamous cell based on this part of the question:
"...contralateral SCC lung primary, what would be the best way to treat? What abo...