International journal of radiation oncology, biology, physics 2009-04-01
Elective nodal irradiation for locally advanced non-small-cell lung cancer: it's called cancer for a reason.
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I agree with @Dr. First Last's thoughtful response above. Though the idea of SBRT to a small primary is appealing, the clear standard of care here would be to deliver concurrent chemoradiation using standard fractionation (i.e. 60Gy) using standard margins and standard approach to nodal irradiation ...
When would you include uninvolved nodal stations when treating patients with locally advanced NSCLC with definitive CRT?
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Radiation Oncology · University of Pennsylvania Health System
You bring up a good point. Sometimes there are 'at risk' nodes in locally-advanced NSCLC (LA-NSCLC) that may not be FDG-avid and sit between two or more masses that are FDG-avid or perhaps are enlarged but not FDG-avid. Judgement does come into play when contouring targets. For background, RTOG 0515...