What is the role of adjuvant radiation therapy for stage III melanoma in the era of adjuvant Opdivo?
Burnmeister data from 2012 showed a local control benefit for radiation therapy in selected patients, but that was without immunotherapy. Is adjuvant RT still beneficial? If so, would you treat concurrently with Opdivo?
Answer from: Radiation Oncologist at Academic Institution
I think the role of adjuvant radiotherapy in stage III cutaneous melanoma is difficult to define at this time (June 2019).
To be clear, the TROG trial mentioned above showed that adjuvant lymph node basin radiotherapy after therapeutic lymphadenectomy can decrease the chances of lymph node ...
Comments
Radiation Oncologist at Donald and Barbara Zucker School of Medicine at Hofstra/Northwell I agree that the role of adjuvant radiation is unc...
Radiation Oncologist at Memorial Sloan Kettering Cancer Center There is no singular policy that we uniformly adhe...
Radiation Oncologist at Christus St Vincent What is your adjuvant dose and fractionation for r...
Answer from: Radiation Oncologist at Academic Institution
Under most circumstances, I recommend the use of postoperative radiation therapy for all but the smallest widely excised lesions. In my experience, and borne out by the literature, the use of postoperative radiation therapy with most malignancies, melanoma included, shows definite survival benefits....
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Radiation Oncologist at Northeast Alabama Regional Medical Center I just came here to say @Carl R. Bogardus was...
Radiation Oncologist at Yale School of Medicine Agree whole heartedly. We sent flowers to his fami...
I agree that the role of adjuvant radiation is unc...
There is no singular policy that we uniformly adhe...
What is your adjuvant dose and fractionation for r...