Ewings sarcoma
3 year old child presents with chest pain and dyspnoea a year back, investigated with CECT chest- 7 x 8 cm mass lesion in the posterior mediastinum with ? involvement of the D4,D5 neural foraminal space,?PNET, underwent total resection 1 year back and was on VAC + IE chemotherapy since then, post-op CT- s/o no residual, now referred for radiotherapy,
1)Is there any role of RT now keeping in view young age of the patient?
2) Role of PET in this case?
3) If there is role of RT consideration for gap between surgery and RT?
4) if RT is given, volumes that are to be taken?
please advice
Dr.Yugandhar Sarma
Senior resident
NIMS,
Hyderabad