Would you include any elective nodal stations for cases of T3/T4 node-negative NSCLC staged by PET/CT in which a patient cannot undergo nodal sampling?
Would your answer differ based on whether the patient is receiving concurrent chemotherapy? Are there other factors that would influence this decision?
Answer from: Radiation Oncologist at Community Practice
In short, my answer is ânoâ. I do not target elective lymph nodes for NSCLC patients receiving definitive RT. There are now a few RCTs for locally advanced NSCLC indicating that elective nodal irradiation can be omitted from concurrent chemoradiotherapy (Yuan et ...