Would you include any elective nodal stations for cases of T3/T4 node-negative NSCLC staged by PET/CT in which a patient cannot undergo nodal sampling?
Would your answer differ based on whether the patient is receiving concurrent chemotherapy? Are there other factors that would influence this decision?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Montefiore Einstein Comprehensive Cancer Center
Answered on
In short, my answer is “noâ€. I do not target elective lymph nodes for NSCLC patients receiving definitive RT.
There are now a few RCTs for locally advanced NSCLC indicating that elective nodal irradiation can be omitted from concurrent chemoradiotherapy (Yuan et al [PMID 17551299], Nestle et al ...
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