When proceeding with neoadjuvant CRT, what is your radiotherapy plan in a patient with distal esophageal adenocarcinoma and an avid AP window lymph node?

If it is not biopsied, but there is high suspicion of disease based on morphology and SUV, would treat to 50.4 in 28 if the surgeon is not removing, but can consider lower if they are. If with CTV/PTV expansion of primary, it remains discontiguous, it can be a separate field/isocenter.

Of note, I typ...