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What is your approach to adjuvant RT or chemoRT in LS-SCLC s/p lobectomy with N1 disease?
What factors prompt you to offer adjuvant RT? What would be included in your field? Is elective mediastinal RT still used? Assume initial imaging was negative for nodes and surgical mediastinal evaluation was negative.
Answer from: Radiation Oncologist at Community Practice
This was thought to be an early-stage disease (T1-T2N0M0) and the decision was made to undergo lobectomy + hilar/mediastinal LN assessment. This is certainly an option based on NCCN guidelines. After surgery, there was an occult N1 node seen on the path. These patients are still at very high risk of...
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