Would you treat an in-field recurrence/marginal recurrence of NSCLC following previous definitive chemoradiation with salvage SBRT?
How would your approach change given the prior RT?
Answer from: Radiation Oncologist at Academic Institution
I would layer the answer to the patient. First question: Local control, yes or no. If yes, then when... to answer that discussion of systemic option and timing in multiD eval. If yes, then how... surgery, IR thermal ablation, radiation. If radiation then dose/technique... 50 Gy 5 fx, 50 Gy 10 fx, 50...
Answer from: Radiation Oncologist at Academic Institution
This would depend entirely on the location of the recurrence and the overlapping dose from the prior plan with organs at risk, as well as the goals of care, patient performance status, and discussion of re irradiation risks. If directly in the mediastinum overlapping PBT/esophagus, there are signifi...