Conundrum of PST: discussion & conclusions
•
Primary systemic treatment is increasingly used
•
Radiation therapy is indicated for most patients
•
The role of surgery is questioned
•
High-level evidence is missing
•
Available evidence supports basing indications
for RT on disease extent at diagnosis
•
Individualisation based on tumour- and
patient-related factors can be done, combined
with the response to PST
•
For fine-tuning we need results from on-going and future clinical
trials




