Please select the option that best describes you:
Topics:
Lung Cancer • Radiation Oncology • Thoracic Malignancies • Stereotactic Body Radiotherapy • Non-small cell lung cancer
How do you approach a peripheral, T1 lung cancer with a positive mediastinal node by EBUS?
Is there a role for SBRT to the primary site? Is it required to treat the ipsilateral hilum if no adenopathy was seen on EBUS or PET?
Answer from: Radiation Oncologist at Academic Institution
I agree with @Michael T. Milano's thoughtful response above. Though the idea of SBRT to a small primary is appealing, the clear standard of care here would be to deliver concurrent chemoradiation using standard fractionation (i.e. 60Gy) using standard margins and standard approach to nodal irradiati...
Sign in or Register to read more
Answer from: Radiation Oncologist at Academic Institution
Conceptually SBRT for a peripheral T1-2 primary tumor in the setting of N2 disease is attractive, as SBRT is simply another means to deliver tumoricidal radiation and SBRT can reduce the volume of lung exposed to high-dose radiation. It is not approach I have used since (for practical reasons) insur...