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Is radical chemo-radiotherapy appropriate in patients with stage IV non-small-cell lung cancer due to cervical lymph node metastases?

ABSTRACT We describe a single institution cohort treated with radical chemo-radiation in oligo-metastatic non-small cell lung cancer due only to cervical lymph node metastases. Although the majority of our patients seem unlikely to have derived substantial benefit and toxicity is not insignificant, there might be a sub-group that gains more and/or has a more favourable biology.