Would you recommend adjuvant radiotherapy in addition to chemotherapy in gastric adenocarcinoma s/p gastrectomy with a distal positive resection margin?

Additional clinical features include grade 3, diffuse type, pT4a, pN2.

Answer from: Radiation Oncologist at Academic Institution

This is one of the indications for adjuvant chemoRT for gastric cancer. This patient is pT4a, pN2, R1/2 disease, and grade 3. They probably should have gotten peri-operative FLOT4, in which case the path would be ypT4a, ypN2, R1/2. Either way, the NCCN guidelines support the use of adjuvant radiati...

Comments

Radiation Oncologist at Advocate Radiation Oncology
Thank you, what will be your CTV components?

Radiation Oncologist at Fox Chase Cancer Center
I agree with chemoRT for a positive margin. There ...

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Would you recommend adjuvant radiotherapy in addition to chemotherapy in gastric adenocarcinoma s/p gastrectomy with a distal positive resection margin?

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