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What is your treatment approach to patients with extremity sarcoma with multiple positive regional nodes?
Do you offer neoadjuvant RT with resection and node dissection vs. definitive radiation? How extensive does the nodal disease have to be for you to consider the patient metastatic?
Answer from: Radiation Oncologist at Academic Institution
We generally include lymph nodes > 3 cm or multiple lymph nodes in the first echelon area if within a reasonable distance to the primary in the preoperative volume. For first echelon nodes at greater distances from the primary site without in transit involvement, we woul...
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Answer from: Radiation Oncologist at Community Practice
A subset of patients with node positive disease are cured so our intent of treatment is curative. We dont have fixed approach but treat these patients with all three modalities including surgery, radiation and chemotherapy. RT would cover primary site and nodal area and dose to nodal region is 45-50...