In a patient with a mediastinal recurrence following lobectomy for early stage NSCLC, what would be your treatment volume?   

Would anyone consider elective mediastinal XRT to 45-50Gy then boost involved LN to 60-66? Or treat involved lymph node only?  The patient will receive concurrent chemotherapy also. Any thoughts or suggestions would be greatly appreciated! 



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Mon Health
I am on the precipice of seeing a patient with PET...
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Answer from: Radiation Oncologist at Community Practice