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HILAR LYMPH NODE SURGERY
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HILAR LYMPH NODE SURGERY

I am an 81 year hold male ,excellent physical shape, recovering by multidrug metronomic chemo from recurrent  metastatic Pancreatic Adenocarcinoma without Whipple.Initial diagnosis in 2003 .
The only residual disease is SUVmax= 6.0 in the left bronchopulmonary (hilar ) lymph node ,CA19- 19 ; 22. confirmed by CT/PET Scan in May ,2008., node size is normal , 9 mm max, therec are no outward symptoms such as pain etc.

Planned treatment  by an excellent medical team Fractional Cone beam with Stereotactic  method ,unfortunately minimum possibly achievable  beam  diameter is large ,3 cm , Radiation team has no experience with Hilar node , only with nodes further away .Rad may be concurrent or sequential to same  multidrug chemotherapy

QUESTION : Should they add Surgical  resection of the node as it was done in a Pancoast tumor presented at the 2004 AATS in Toronto  by King and others ,(“ High Dose radiotherapy in trimodality …..etc “.)  I am an Engineer but I successfully impersonating an oncologist since  five years, I  intend to go into full recovery , I consider my case a chronic ,highly treatable illness .
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This question is out of my area of expertise.  

Please contact administration for a refund, and I will do so as well.

Apologies,
Kevin
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