What is the role of radiation in regionally recurrent gastric cancer?
In a patient who received upfront surgery and chemotherapy who later recurred in the regional nodes, s/p lymphadenectomy, would you offer RT? If so, to what treatment volumes and dose?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Memorial Sloan-Kettering Cancer Center
Answered on
I would treat this like a D2 dissection case that did not receive preoperative chemotherapy. I would treat a large microscopic volume including the tumor bed, gastric remnant and the celiac axis, porta, and splenic nodes. IMRT to 45Gy would probably be necessary in my mind in this case. I would use ...
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