Would you recommend post op radiation therapy for a primary pulmonary synovial sarcoma which underwent lobectomy?
Relevant pathology features: 7.5cm, grade 3 with a 5mm bronchial margin, negative nodes.
Answer from: Radiation Oncologist at Academic Institution
Preop RT would have been worth considering, but I don't see a role for postop RT in the thorax given negative margins and the extent of the field that would be required. It is unclear why neoadjuvant chemo was not considered for a large high grade tumor, but would at least ensure the patient sees me...
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