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Do you ever recommend PORT or chemoRT rather than chemotherapy alone for NSCLC with adverse features other than positive margins or N2 disease?

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Radiation Oncology · Duke University Medical Center

Despite the numerous limitations of the PORT meta-analysis, and subsequent non-randomized studies of postoperative RT in NSCLC, one message seems clear (at least to me)- radiation therapy can cause harm. In patients with resected lung cancer (who often have many co-morbidities), prudence seems a wis...

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Radiation Oncology · Beaumont Health System

I agree completely with @Dr. First Last. The only other group that could be considered for PORT is the rare patient that had involved hilar nodes and inadequate surgery in the mediastinum. I’ve seen cases where the procedure needed to be halted for medical reasons before the mediastinum was dissecte...

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