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Page Background

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