When is postoperative radiation appropriate for a typical lung carcinoid tumor?

Postoperative radiotherapy in usually NOT indicated for a typical thoracic carcinoid tumor which are obviously considered low-grade neuroendocrine tumors as opposed to atypical carcinoid which are intermediate grade.

The risk of nodal metastases for a typical carcinoid is low, on the order of < 5-1...

When carcinoid tumors behave badly I think of them like nonsmall cell lung cancers. I'd treat positive margins or positive mediastinal nodes. I use standard postop doses and targets

Anticipating your next question....

No. There really isn't good data for this. No one has series big enough with good...