What radiation treatment volume would you include in chemoradiation given for perihilar lymph node recurrence after surgical resection and mediastinal lymph node dissection for NSCLC?

Would you target only the recurrent lymph node that was FDG avid or include other at risk lymph nodes?

Answer from: Radiation Oncologist at Community Practice

I typically ask for a PET-CT, MRI brain, and comprehensive EBUS. If isolated to the hilar LN, I would just cover that region and not any elective nodes.

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What radiation treatment volume would you include in chemoradiation given for perihilar lymph node recurrence after surgical resection and mediastinal lymph node dissection for NSCLC?

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