Would you offer adjuvant radiation to a large solitary fibrous tumor of the lung s/p wedge resection with close margins?

If a benign SFT, I'd observe.

If malignant, I'd consider 50 Gy/25 fractions to the surgical bed. The role of adjuvant radiation isn't well established, with some small reports suggesting LC benefit with tumors >5 cm and/or positive margins. Given "large" and more limited surgical resection with wedg...

I do not recall ever treating a benign fibrous tumor of the chest.

But more broadly, for most benign conditions, I usually would consider postoperative local radiation in settings where a local recurrence would be challenging for the surgeon to deal with. So, from my perspective, it's usually a con...