T4N1 gastric cancer resected with a focally positive distal margin.
No chemo as the medical oncologist feels the patient is frail.
Would you:
Treat to 45Gy as there aren't any other options?
Or not treat, as there isn't much evidence, and 45Gy may not be enough for microscopic disease?
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Adjuvant radiation alone for focal positive margin gastric cancer
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