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In a patient treated with peri-operative chemotherapy via the MAGIC regimen for gastric cancer who has a locoregional relapse in unresectable celiac node, how would you approach radiation treatment?  

Do you consider Macdonald type sandwich treatment 45Gy with xeloda?

Would you dose escalate gross node?

Would you treat stomach remnant and regional nodes or just node itself?



Answer from: Radiation Oncologist at Academic Institution
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