What is your approach for a symptomatic inpatient with locally advanced NSCLC who cannot have a PET?

These are tough cases. While we ideally aspire to have full (and congruent) staging information, this is not always possible.

There are therefore competing pressures. Factors that favor AP/PA, 3 Gy fractions include 1) the need to initiate treatment rapidly given symptomatic burden and 2) the desire ...

I would recommend to TX primary tumor, endobronchial lesions, and enlarged and growing N2 nodes. I will not treat the lymph nodes that are mildly enlarged but have been stable and negative by EBUS. Since it could be a potentially curable disease, I would simulate and plan RT as definitive case and t...