Would you consider adjuvant radiation for R1 resection for thymoma with solitary pleural deposit along diaphragm?

In my experience, anytime the pleural space is violated nothing good comes from it because if you "treat" one spot, others will pop-up which will ultimately result in the demise of the patient(s). There is a 1997 paper for carcinomas involving the p-space which indicated that these patients do much worse because most have wide spread mets anyway.

Ordinarily, thymomas are fairly responsive to radiotherapy but because of this specific location, my instincts would be to surgically resect the pleural...