NCCN Guidelines for Patients® | Non-Small Cell Lung Cancer - page 56

56
NCCN Guidelines for Patients
®
: Non-Small Cell Lung Cancer
Version 1.2014
Part 7: Treatment by cancer stage
7.1 Stage I treatments
You may have stage I lung cancer based on tests given
before treatment. In stage IA, the lung tumor is 3 cm or
smaller. A stage IB tumor can be as large as 5 cm or may
have grown into the main airway or tissue lining of the lung.
The chart above maps the treatment options for stage I.
Which primary treatment you will have depends on if you
are able to have surgery. If lung surgery is an option,
removal of the tumor and lymph nodes is recommended.
The goal of surgery is to cure the cancer.
During surgery, your doctors may find more cancer than
first thought. This may change the stage of the cancer. If the
cancer is upstaged, go back to page 55 to find out which
pages to read for adjuvant treatment.
If the cancer remains stage I, you may receive adjuvant
treatment depending on the surgical results. Treatment
options differ whether the cancer is stage IA or IB. Cancer in
the surgical margin also affects treatment options.
Lung tumor
and lymph
node surgery
Primary treatment
Observation
Surgery (preferred), or
Radiation therapy
Observation, or
Chemotherapy if high risk
Stage and margin status
Adjuvant treatment
Stage IB
Stage IA
Radiation therapy
(including SABR)
Consider chemotherapy
for high-risk stage IB
Surgery (preferred)
± chemotherapy, or
Radiation therapy ±
chemotherapy
Able and want to
have surgery
Unable or refuse
to have surgery
Test results
No cancer
in margins
Cancer in
margins
No cancer
in margins
Cancer in
margins
1...,46,47,48,49,50,51,52,53,54,55 57,58,59,60,61,62,63,64,65,66,...108
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