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Radiation Oncology • Thoracic Malignancies • Medical Oncology • Internal Medicine • Pulmonology
How do you approach the workup of subcentimeter contralateral nodules in cases of locally advanced NSCLC?
When there is biopsy proven mediastinal disease, do you offer definitive chemoradiation and monitor, or do you try to prove the presence/absence of contralateral disease, knowing that biopsy of these lesions is often not possible?
Answer from: Medical Oncologist at Academic Institution
These are often challenging questions/issues in our multimodality discussions. A couple of "general" principles/considerations. I would try, if at all possible to prove the presence of metastatic disease, however in the case of sub cm contralateral nodules, this is, as the question alludes...
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