NCCN Guidelines for Patients® | Non-Small Cell Lung Cancer - page 45

45
NCCN Guidelines for Patients
®
: Non-Small Cell Lung Cancer
Version 1.2014
Part 6: Overview of cancer treatments
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The goal of surgery is to remove all the cancer from the body. To do so, the
tumor is removed along with some normal-looking tissue around its rim, called
the surgical margin. Thus, which surgery you will have depends on where the
tumor has grown and how well your lungs work.
The preferred surgery for most lung cancers is a pneumonectomy or
lobectomy. If a sleeve lobectomy and pneumonectomy are options, a sleeve
lobectomy is preferred because it saves most of the lung. You may qualify for
a segmentectomy and wedge resection if a lobectomy would seriously threaten
your health or if you have a very small tumor that hasn’t likely spread. If you can
have either surgery, a segmentectomy is the preferred choice.
Lymph node surgery
During the surgery to remove the tumor, lymph nodes with cancer and those
that may have cancer are removed. Lymph nodes may be removed by lymph
node dissection or systematic lymph node sampling. For sampling, some
lymph nodes in the lung and some mediastinal nodes are removed. A lymph
node dissection removes as many lymph nodes as possible from the lung and
mediastinum. To remove nodes, some organs may need to be moved or cut.
If you have N0 or N1 disease, either type of surgery is an option. Lymph node
dissection of the mediastinal nodes is recommended for stage IIIA tumors with
N2 disease that are treated with surgery.
Side effects of surgery
Side effects are unhealthy or unpleasant physical or emotional responses to
treatment. You may experience side effects from the general anesthesia, lung
tumor surgery, or the lymph node surgery. Side effects of general anesthesia
include a sore throat from the breathing tube, nausea with vomiting, confusion,
muscle aches, itching, and crying right after you wake up.
Definitions:
General anesthesia:
A controlled loss of
wakefulness from drugs
lymph node:
A small
group of disease-fighting
cells
mediastinal:
The chest
area between the lungs
retractors:
A tool that
holds back the edges of a
surgical cut
!
Read pages 30–33
for definitions of
TNM scores.
1...,35,36,37,38,39,40,41,42,43,44 46,47,48,49,50,51,52,53,54,55,...108
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