How would you approach residual ipsilateral diaphragmatic disease for M1a thymic cancer after induction chemotherapy and otherwise complete resection of primary and pleural disease?
Should one do pleurectomy/decortication?
Answer from: Radiation Oncologist at Academic Institution
I would favor surgical approach to resect it if the patient can tolerate it. RT could be considered but motion management is crucial. The data on second-line chemo is very limited.