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PET-Plan: Treatment

Arm A

PET-Volume

+ atelectasis (3cm) + CT-positive LN:

escalated TD 60 – 74 Gy/ 2 Gy

elective LN (>10% risk) 50 Gy/ 2 Gy

Arm B

PET-Volume

escalated TD 60 – 74 Gy/ 2 Gy

Observational arm C

RT-planning according arm A not possible:

RT in analogy to arm B

Dose escalation:

All patients

highest possible dose by NT restrictions

simultaneous chemotherapy

all pts:

Platin containing doublet

e.g. Platin-Vinorelbine, Platin-Etoposid