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When would you include uninvolved nodal stations when treating patients with locally advanced NSCLC with definitive CRT?

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Mednet Member
Mednet Member
Radiation Oncology · University of Pennsylvania Health System

You bring up a good point. Sometimes there are 'at risk' nodes in locally-advanced NSCLC (LA-NSCLC) that may not be FDG-avid and sit between two or more masses that are FDG-avid or perhaps are enlarged but not FDG-avid. Judgement does come into play when contouring targets. For background, RTOG 0515...

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Mednet Member
Mednet Member
Radiation Oncology · University of Rochester

In my practice I tend to not treat nodes electively for Stage II-III disease, with the understanding that higher risk, occult nodal stations are likely included within the PTV (with several studies demonstrating this). I agree with @Dr. First Last about including enlarged nodes, in the vicinity of G...

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