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Radiation Oncology • Thoracic Malignancies
Would you recommend adjuvant radiation after wedge resection for a 1.0 cm non small cell lung cancer with close margins of 2mm?
NCCN recommends achieving margins of 2.0cm or at least the size of the lesion, but assuming the patient did not have adequate lung function for lobectomy.
Answer from: Radiation Oncologist at Academic Institution
We do not recommend adjuvant radiation for close (or even positive) margins after a wedge resection. The rationale for a wedge resection (as opposed to lobectomy) typically stems from some level of medical risk in a patient precluding more standard upfront resection. Difficulty localizing the s...
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